title: Acculturation and Diabetes Risk in the Mexican American Mano a Mano Cohort.
abstract: OBJECTIVE
  To investigate the association between acculturation and diabetes risk in the Mexican American Mano a Mano (hand to hand) Cohort.
  
  
  METHODS
  We recruited 15 975 men and women in the Houston, Texas, area from 2001 to 2014. We used language use, birth country, and duration of US residence (among Mexico-born) to assess acculturation. Participants self-reported a physician's diagnosis of diabetes during annual follow-up over an average of 5.4 (range = 1-13) years. Self-reported diabetes status was validated in medical records for a subset of 235 participants with 98% agreement.
  
  
  RESULTS
  Diabetes risk was higher among immigrants with 15 to 19, 20 to 24, and 25 or more years (relative risk = 1.47; 95% confidence interval = 1.07, 2.01) of US residence, relative to those with less than 5 years. Neither language acculturation nor birth country was significantly associated with diabetes risk.
  
  
  CONCLUSIONS
  Among participants born in Mexico, diabetes risk increased with longer duration of US residence.
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Chelsea
authors.initials: C
authors.lastname: Anderson
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Carrie R
authors.initials: CR
authors.lastname: Daniel
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Amber
authors.initials: A
authors.lastname: Hromi-Fiedler
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Qiong
authors.initials: Q
authors.lastname: Dong
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Kplola Y
authors.initials: KY
authors.lastname: Elhor Gbito
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Xifeng
authors.initials: X
authors.lastname: Wu
authors.affiliation: Chelsea Anderson, Hua Zhao, Carrie R. Daniel, Qiong Dong, Kplola Y. Elhor Gbito, Xifeng Wu, and Wong-Ho Chow are with the Department of Epidemiology, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, TX. Chelsea Anderson and Amber Hromi-Fiedler are with Yale School of Public Health, New Haven, CT.
authors.forename: Wong-Ho
authors.initials: WH
authors.lastname: Chow
mesh_terms: D000069:Acculturation; D000328:Adult; D000368:Aged; D003920:Diabetes Mellitus / Q000208:ethnology*; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D017058:Mexican Americans / Q000706:statistics & numerical data*; D008875:Middle Aged; D013781:Texas / Q000453:epidemiology