title: Migration status in relation to clinical characteristics and barriers to care among youth with diabetes in the US.
abstract: Migration status and the accompanying diversity in culture, foods and family norms, may be an important consideration for practitioners providing individualized care to treat and prevent complications among youth with diabetes. Approximately 20 % of youth in the US have ≥1 foreign-born parent. However, the proportion and characteristics of youth with diabetes and ≥1 foreign-born parent have yet to be described. Study participants (n = 3,086) were from SEARCH for Diabetes in Youth, a prospective multi-center study in the US. Primary outcomes of interest included HbA1c, body mass index and barriers to care. Multivariable analyses were carried out using logistic regression and analysis of covariance. Approximately 17 % of participants with type 1 diabetes (T1D) and 22 % with type 2 diabetes (T2D) had ≥1 foreign-born parent. Youth with T1D and ≥1 foreign-born parent were less likely to have poor glycemic control [adjusted odds ratio (OR) (95 % confidence interval): 0.70 (0.53, 0.94)]. Among youth with T2D, those with ≥1 foreign-born parent had lower odds of obesity [adjusted OR (95 % CI): 0.35 (0.17, 0.70)]. This is the first study to estimate the proportion and characteristics of youth with diabetes exposed to migration in the US. Research into potential mechanisms underlying the observed protective effects is warranted.
authors.affiliation: Department of Nutrition, The University of North Carolina, Chapel Hill, NC 27599, USA.
authors.forename: Lindsay M
authors.initials: LM
authors.lastname: Jaacks
authors.forename: Reena
authors.initials: R
authors.lastname: Oza-Frank
authors.forename: Ralph
authors.initials: R
authors.lastname: D'Agostino
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Dolan
authors.forename: Dana
authors.initials: D
authors.lastname: Dabelea
authors.forename: Jean M
authors.initials: JM
authors.lastname: Lawrence
authors.forename: Catherine
authors.initials: C
authors.lastname: Pihoker
authors.forename: M Rebecca
authors.initials: MR
authors.lastname: O'Connor
authors.forename: Barbara
authors.initials: B
authors.lastname: Linder
authors.forename: Giuseppina
authors.initials: G
authors.lastname: Imperatore
authors.forename: Michael
authors.initials: M
authors.lastname: Seid
authors.forename: K M Venkat
authors.initials: KM
authors.lastname: Narayan
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Mayer-Davis
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000628:therapy; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D011446:Prospective Studies; D012959:Socioeconomic Factors; D014171:Transients and Migrants / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
chemical_list: D001786:Blood Glucose