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Associations of food insecurity, socioeconomic status, and type 2 diabetes among Mexican Americans and non-hispanic whites in the United States
Descriptive
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Text
TitleInfo
(ID = T-1)
Title
Associations of food insecurity, socioeconomic status, and type 2 diabetes among Mexican Americans and non-hispanic whites in the United States
SubTitle
PartName
PartNumber
NonSort
Identifier
ETD_1520
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.2/rucore10001600001.ETD.000051022
Language
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LanguageTerm
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(type = code)
eng
Genre
(authority = marcgt)
theses
Subject
(ID = SBJ-1);
(authority = RUETD)
Topic
Nutritional Sciences
Subject
(ID = SBJ-2);
(authority = ETD-LCSH)
Topic
Hispanic Americans--Health and hygiene
Subject
(ID = SBJ-3);
(authority = ETD-LCSH)
Topic
Whites--Health and hygiene
Subject
(ID = SBJ-4);
(authority = ETD-LCSH)
Topic
Diabetics--Social conditions
Subject
(ID = SBJ-5);
(authority = ETD-LCSH)
Topic
Diabetics--Economic conditions
Subject
(ID = SBJ-6);
(authority = ETD-LCSH)
Topic
Nutrition
Abstract
Mexican Americans are the largest segment of Hispanics in the United States of America (U.S.). Hispanics and Mexican Americans are more likely to have higher rates of type 2 diabetes (T2D) and its risk factors such as obesity, physical inactivity, low socioeconomic status (SES), and food insecurity compared to non-Hispanic Whites (NHW). However, the research looking into the associations between these risk factors and T2D, and the potential racial/ethnic differences is limited. This study examined whether food insecurity was related to T2D independently of low SES and a wide range of T2D risk factors among Mexican Americans and non-Hispanic Whites (NHW) in a nationally representative sample in the U.S. About 12,944 adults, including 2,955 Mexican Americans and 6,363 non-Hispanic Whites, 20-84yr, from the National Health and Nutrition Examination Survey (NHANES) 1999-2004 were included in the analyses. Multivariate logistic regression analyses indicated that participants with marginal or very low food security (vs. high food security) at the household level were more likely to have T2D after adjusting for education, employment, poverty, race/ethnicity, age, gender, and country of birth (p<0.05). Following further adjustment for obesity, lifestyle factors (physical activity, cigarette smoking, alcohol and dietary intakes), family history of diabetes, and comorbidities, participants with very low (household) food security remained more likely to have T2D (OR 1.84, CI 1.02-3.31). When the two racial/ethnic groups were examined separately, very low food security became a stronger determinant of T2D among NHWs (OR 3.53, CI 1.58-7.87), but this association was attenuated among Mexican Americans. Low SES, as determined by education and employment levels, were marginally related to higher likelihood of having T2D among Mexican Americans (p=0.050) but not among NHWs. These results suggest that associations of food insecurity and SES with T2D vary between Mexican American and NHW adults. This may require different approaches for prevention efforts tailored to the needs of each racial/ethnic group.
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electronic resource
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x, 105 p. : ill.
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application/pdf
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text/xml
Note
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M.S.
Note
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Includes bibliographical references (p. 94-105)
Note
(type = statement of responsibility)
by Seo Yeon Jang
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Jang
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Seo Yeon
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Seo Yeon Jang
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(type = family)
Fitzgerald
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(type = given)
Nurgül
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chair
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Advisory Committee
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Nurgül Fitzgerald
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(ID = NAME-3);
(type = personal)
NamePart
(type = family)
Palmer
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(type = given)
Debrah
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internal member
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Advisory Committee
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Debrah Palmer
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(ID = NAME-4);
(type = personal)
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(type = family)
Hoffman
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(type = given)
Daniel
Role
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(authority = RULIB);
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internal member
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Advisory Committee
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Daniel Hoffman
Name
(ID = NAME-1);
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NamePart
Rutgers University
Role
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(authority = RULIB);
(type = )
degree grantor
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Graduate School - New Brunswick
Role
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(authority = RULIB);
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school
OriginInfo
DateCreated
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(qualifier = exact)
2009
DateOther
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2009-01
Location
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NjNbRU
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier
(type = local)
rucore19991600001
Identifier
(type = doi)
doi:10.7282/T3N016S5
Genre
(authority = ExL-Esploro)
ETD graduate
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Rights
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The author owns the copyright to this work.
Copyright
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Copyright protected
Availability
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Open
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Permission or license
Detail
Non-exclusive ETD license
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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ETD
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application/pdf
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application/x-tar
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419840
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