title: Associations of intergenerational education with metabolic health in U.S. Latinos.
abstract: OBJECTIVE
  The purpose of this study was to examine the association of intergenerational education and country of birth with waist circumference, metabolic syndrome, and type 2 diabetes among older adult Latinos in the United States.
  
  
  METHODS
  We used cross-sectional data from the Sacramento Area Latino Study on Aging, a cohort of older adult Mexican-American Latinos (mean age = 70 years). At baseline, we measured waist circumference and assessed metabolic syndrome and diabetes according to established guidelines (N = 1,789). Participants were classified as US-born or foreign-born based on self-reported birth country. Participants reported their parents' education level (≥6 vs. <6 years) and their own educational attainment (≥12 vs. <12 years).
  
  
  RESULTS
  US-born participants who achieved high adult education, regardless of their parents' education, had 37% lower odds of type 2 diabetes compared to US-born participants with both low parental and personal education levels [e.g., multivariable-adjusted OR (parental low/adult high) = 0.63; 95% CI = 0.40, 0.99]. Among the foreign-born, only those with both high parental and high personal education levels had 55% lower odds of large waist circumference (OR = 0.45; 95% CI = 0.23, 0.88) compared to foreign-born participants with both low parental and personal education levels.
  
  
  CONCLUSIONS
  Intergenerational exposure to low education levels may increase central obesity and type 2 diabetes differentially among US-born and foreign-born Latinos.
authors: Division of Epidemiology and Population Health, Department of Public Health Sciences, University of Miami, Miami, Florida, USA.
authors: Adina
authors: A
authors: Zeki Al Hazzouri
authors: Mary N
authors: MN
authors: Haan
authors: Whitney R
authors: WR
authors: Robinson
authors: Penny
authors: P
authors: Gordon-Larsen
authors: Lorena
authors: L
authors: Garcia
authors: Erin
authors: E
authors: Clayton
authors: Allison E
authors: AE
authors: Aiello
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control*; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006266:Health Education / Q000458:organization & administration*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D016901:Intergenerational Relations; D008297:Male; D024821:Metabolic Syndrome / Q000208:ethnology* / Q000517:prevention & control*; D014481:United States; D055105:Waist Circumference