Social Correlates of Weight in an Aging Population

Burnight, Robert G.; Marden, Parker G.

doi:10.2307/3348840

Cited by 11 publications

(2 citation statements)

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“…In developed countries, SES is inversely correlated with prevalence of NIDDM (6)(7)(8) and obesity (9)(10)(11)(12). We have observed a similar relationship between SES, obesity, and NIDDM in Mexican-American women (1,13).…”

supporting

confidence: 71%

Effect of Socioeconomic Status on Hyperglycemia and Retinopathy Levels in Mexican Americans With NIDDM

Haffner

Hazuda²,

Stern

et al. 1989

Diabetes Care

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Mexican Americans have a threefold greater prevalence of non-insulin-dependent diabetes mellitus (NIDDM) than non-Hispanic Whites. Moreover, Mexican-American diabetic people have more severe hyperglycemia and diabetic retinopathy than non-Hispanic White diabetic people. Mexican Americans are predominantly of low socioeconomic status (SES), and low-SES Mexican Americans have a higher prevalence of NIDDM than higher-SES Mexican Americans. Therefore, we hypothesized that among diabetic people, low SES would be associated with more severe hyperglycemia and retinopathy. Three hundred forty-three Mexican Americans and 79 non-Hispanic Whites with NIDDM were identified from the San Antonio Heart Study, a population-based study of diabetes and cardiovascular disease. Hyperglycemia was assessed as the sum of the fasting, 1-h, and 2-h plasma glucose concentrations during a standard oral glucose tolerance test. Retinopathy was assessed by 7 standard stereoretinal photographs. SES was assessed with three indicators: Duncan's socioeconomic index, education, and income. Contrary to expectations, low SES was not associated with greater levels of hyperglycemia or grades of retinopathy.

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supporting

confidence: 71%

Effect of Socioeconomic Status on Hyperglycemia and Retinopathy Levels in Mexican Americans With NIDDM

Haffner

Hazuda²,

Stern

et al. 1989

Diabetes Care

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“…In developed societies an inverse relationship between socioeconomic status and prevalence of obesity is well-established (21)(22)(23)(24), although to our knowledge it has not previously been documented in Mexican Americans. In developed societies an inverse relationship between socioeconomic status and prevalence of obesity is well-established (21)(22)(23)(24), although to our knowledge it has not previously been documented in Mexican Americans.…”

Section: Anglosmentioning

confidence: 97%

Sex Difference in the Effects of Sociocultural Status on Diabetes and Cardiovascular Risk Factors in Mexican Americans: The San Antonio Heart Study

Stern

Rosenthal

Haffner

et al. 1984

American Journal of Epidemiology

307

194

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The authors postulated that as Mexican Americans became more affluent and/or acculturated to "mainstream" United States life-style they would progressively lose their "obesity-related" pattern of cardiovascular risk factors which were defined as: obesity, diabetes, hypertriglyceridemia and low levels of high density lipoprotein cholesterol. This hypothesis was tested in 1979-1982 in the San Antonio Heart Study, a population-based study on 1,288 Mexican Americans and 929 Anglos living in three San Antonio neighborhoods: a low-income barrio, a middle-income transitional neighborhood, and a high-income suburb. The study population comprised 25-65-year-old men and nonpregnant women. In Mexican American women, all of the "obesity-related" risk factors fell sharply with rising socioeconomic status. In Mexican American men, by contrast, diabetes was the only "obesity-related" risk factor which fell with rising socioeconomic status. Moreover, it fell less steeply, there being an approximately twofold difference in diabetes prevalence between the barrio and the suburbs in men compared to a fourfold difference in women. Also, total and low density lipoprotein cholesterol rose with rising socioeconomic status in Mexican American men, but not in Mexican American women. "Obesity-related" risk factors were generally higher in Mexican Americans of both sexes than in their Anglo neighbors who were of similar socioeconomic status. These results suggest that cultural factors exert a stronger influence on diabetes and cardiovascular risk factors in Mexican Americans than do purely socioeconomic factors.

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Pudel

1982

Zur Psychogenese Und Therapie Der Adipositas

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Social Correlates of Weight in an Aging Population

Cited by 11 publications

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Effect of Socioeconomic Status on Hyperglycemia and Retinopathy Levels in Mexican Americans With NIDDM

Effect of Socioeconomic Status on Hyperglycemia and Retinopathy Levels in Mexican Americans With NIDDM

Sex Difference in the Effects of Sociocultural Status on Diabetes and Cardiovascular Risk Factors in Mexican Americans: The San Antonio Heart Study

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