Table 3.
Prevalence ratio of diabetes among Hispanic and Chinese participants by race and acculturation score strata, MESA, 2000–2002
| Acculturation score | n | Prevalence ratio (95% CI)
|
||||||
|---|---|---|---|---|---|---|---|---|
| Unadjusted | Model 1 (adjusted for age, sex)* | Model 2 (model 1 + SES)* | Model 3 (model 2 + BMI)* | Model 4 (model 2 + diet)* | Model 5 (model 2 + physical activity)* | Model 6 (model 2 + BMI, diet, physical activity)* | ||
| Mexicans | ||||||||
| 0–1 (least acculturated) | 99 | Referent | Referent | Referent | Referent | Referent | Referent | Referent |
| 2 | 175 | 1.10 (0.69–1.76) | 1.09 (0.69–1.73) | 1.15 (0.72–1.86) | 0.99 (0.60–1.62) | 1.16 (0.72–1.87) | 1.09 (0.67–1.77) | 1.06 (0.65–1.74) |
| 3–4 | 157 | 0.99 (0.61–1.61) | 0.91 (0.56–1.48) | 1.14 (0.68–1.92) | 0.99 (0.58–1.68) | 1.17 (0.70–1.95) | 1.09 (0.64–1.84) | 1.07 (0.63–1.82) |
| 5 (most acculturated) | 277 | 0.92 (0.59–1.44) | 0.87 (0.55–1.35) | 1.18 (0.71–1.98) | 1.01 (0.60–1.71) | 1.17 (0.71–1.93) | 1.18 (0.69–2.00) | 1.08 (0.65–1.79) |
| P for trend | 0.433 | 0.249 | 0.618 | 0.994 | 0.702 | 0.643 | 0.903 | |
| Non-Mexican Hispanics | ||||||||
| 0–1 (least acculturated) | 112 | Referent | Referent | Referent | Referent | Referent | Referent | Referent |
| 2 | 271 | 2.27 (1.11–4.67)† | 1.97 (0.95–4.06) | 2.09 (0.98–4.47)‡ | 1.83 (0.88–3.80) | 2.03 (0.98–4.20)‡ | 2.08 (0.97–4.45)‡ | 1.72 (0.85–3.48) |
| 3–5 (most acculturated) | 164 | 1.96 (0.91–4.23) | 1.82 (0.84–3.91) | 2.49 (1.14–5.44)† | 2.08 (0.97–4.45)‡ | 2.08 (0.97–4.47) | 2.45 (1.11–5.44)† | 1.59 (0.75–3.39) |
| P for trend | 0.299 | 0.352 | 0.059 | 0.196 | 0.179 | 0.069 | 0.510 | |
| Chinese | ||||||||
| 0 (least acculturated) | 142 | Referent | Referent | Referent | Referent | Referent | Referent | Referent |
| 1 | 232 | 1.53 (0.85–2.74) | 1.51 (0.85–2.70) | 1.48 (0.83–2.62) | 1.44 (0.81–2.57) | 1.48 (0.85–2.59) | 1.48 (0.84–2.63) | 1.39 (0.78–2.45) |
| 2 | 271 | 1.53 (0.87–2.72) | 1.59 (0.90–2.80) | 1.36 (0.76–2.43) | 1.27 (0.72–2.26) | 1.42 (0.81–2.49) | 1.37 (0.77–2.43) | 1.34 (0.76–2.35) |
| 3–5 (most acculturated) | 92 | 0.88 (0.39–2.02) | 0.95 (0.42–2.16) | 0.90 (0.38–2.11) | 0.78 (0.34–1.78) | 1.26 (0.56–2.87) | 0.91 (0.39–2.08) | 1.13 (0.50–2.56) |
| P for trend | 0.761 | 0.973 | 0.792 | 0.503 | 0.618 | 0.815 | 0.833 | |
Model 1 adjusted for age and sex; model 2, model 1 plus SES (education in three categories; income in four categories); model 3, model 2 plus BMI; model 4, model 2 plus dietary variables (total calories in kilocalories, total fat in percent kilocalories, total carbohydrate in percent kilocalories, and total fiber in grams per 1,000 cal); model 5, model 2 plus physical activity in MET-minutes per week; model 6, model 2 plus BMI, dietary variables (total calories in kilocalories, total fat in percent kilocalories, total carbohydrate in percent kilocalories, and total fiber in grams per 1,000 cal), and physical activity in MET-minutes per week.
P < 0.01;
P < 0.05 compared with the referent group (least acculturated) within each strata.