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Journal of Immigrant and Minority Health

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01-12-2016 | Original Paper

Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

Authors: Lenny López, Richard W. Grant, Lisa Marceau, Rebecca Piccolo, John B. McKinlay, James B. Meigs

Published in: Journal of Immigrant and Minority Health | Issue 6/2016

Abstract

This study assessed the effect of acculturation on type 2 diabetes and whether health literacy may mediate this association. The Boston Area Community Health cohort is a multi-stage stratified random sample of adults from Boston including 744 Latinos. We defined dysglycemia as a HbA1c ≥5.7 %. Multivariable analyses examined the associations between acculturation and health literacy adjusting for demographic and clinical variables. Similar analyses were performed among participants with HbA1c ≥7.0 % to assess the association between acculturation and diabetes control. Among an insured primarily foreign born Spanish speaking Latino population, with a long residence period in the US and good healthcare utilization, higher levels of acculturation were not associated with dysglycemia. Lower levels of acculturation were associated with worse diabetes control. Health literacy level did not modify these associations. Elucidating the components of heterogeneity among Latinos will be essential for understanding the influence of acculturation on diabetes.

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Title: Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey
Authors: Lenny López
Richard W. Grant
Lisa Marceau
Rebecca Piccolo
John B. McKinlay
James B. Meigs
Publication date: 01-12-2016
Publisher: Springer US
Published in: Journal of Immigrant and Minority Health / Issue 6/2016
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-016-0362-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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