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Intergenerational Educational Mobility and Type 2 Diabetes in the Sacramento Area Latino Study of Aging

Citation

Fernández-Rhodes, Lindsay; Ward, Julia B.; Martin, Chantel L.; Zeki Al Hazzouri, Adina; Torres, Jacqueline M.; Gordon-Larsen, Penny; Haan, Mary N.; & Aiello, Allison E. (Online ahead of print). Intergenerational Educational Mobility and Type 2 Diabetes in the Sacramento Area Latino Study of Aging. Annals of Epidemiology.

Abstract

PURPOSE: United States (US) Latinos have the lowest educational attainment of any US racial/ethnic group, which may contribute to their disparate burden of Type 2 Diabetes. Herein, we aimed to examine the association between intergenerational educational mobility and Type 2 Diabetes among US Latino adults.
METHODS: We used data from the Niños Lifestyle and Diabetes Study (2013-2014) and the Sacramento Area Latino Study on Aging (1998-1999) to link 616 adult Latino children to their parents. Model-based standardization and robust Poisson regression were used to estimate the prevalence of prediabetes, Type 2 Diabetes, treatment and glycemic control, and describe their associations with intergenerational educational mobility.
RESULTS: Adult children with stable high intergenerational educational attainment had a higher prevalence of prediabetes (Prevalence Ratio, PR=1.58; 95% Confidence Interval, CI=1.08, 2.34) and lower prevalence of Type 2 Diabetes (PR=0.64, CI=0.41, 0.99), as compared to those who experienced low educational attainment across generations. Downward mobility was associated with a higher prevalence of prediabetes (PR=1.54, CI=1.06, 2.23) and worse glycemic control (PR=2.20, CI=1.13, 4.30), and upward mobility was associated with a lower prevalence of Type 2 Diabetes (PR=0.39, CI=0.22, 0.70).
CONCLUSIONS: Our findings from a predominantly Mexican-heritage community suggest that higher education across generations may buffer individuals from glycemic dysregulation. As such, higher education may be a promising public health target to address the rising burden of Type 2 Diabetes in the US.

URL

http://dx.doi.org/10.1016/j.annepidem.2021.07.006

Reference Type

Journal Article

Year Published

Online ahead of print

Journal Title

Annals of Epidemiology

Author(s)

Fernández-Rhodes, Lindsay
Ward, Julia B.
Martin, Chantel L.
Zeki Al Hazzouri, Adina
Torres, Jacqueline M.
Gordon-Larsen, Penny
Haan, Mary N.
Aiello, Allison E.

Article Type

Regular

Data Set/Study

Niños Lifestyle and Diabetes Study (NLDS)
Sacramento Area Latino Study on Aging

Continent/Country

United States of America

State

Nonspecific

Race/Ethnicity

Hispanic/Latinx

ORCiD

Fernandez-Rhodes - 0000-0001-6985-423X
Martin, C. - 0000-0003-1907-0810
Gordon-Larsen - 0000-0001-5322-4188
Aiello - 0000-0001-7029-2537