Life-Course Socioeconomic Position and Incidence of Diabetes Mellitus Among Blacks and Whites

The Alameda County Study, 1965–1999

Dados Bibliográficos

ID11028058
AutoresSiobhan C Maty (Siobhan C. Maty is with the School of Community Health, Portland State University, Portland, OR. Sherman A. James is with the Terry Sanford Institute for Public Policy, Duke University, Durham, NC. George A. Kaplan is with the Department of Epidemiology and the Center for Social Epidemiology and Population Health, School of Public Health, University of Michigan, Ann Arbor.), A James (0000-0001-6287-8247, Public Policy Institute of California), Sherman A James (Siobhan C. Maty is with the School of Community Health, Portland State University, Portland, OR. Sherman A. James is with the Terry Sanford Institute for Public Policy, Duke University, Durham, NC. George A. Kaplan is with the Department of Epidemiology and the Center for Social Epidemiology and Population Health, School of Public Health, University of Michigan, Ann Arbor.), George A Kaplan (Siobhan C. Maty is with the School of Community Health, Portland State University, Portland, OR. Sherman A. James is with the Terry Sanford Institute for Public Policy, Duke University, Durham, NC. George A. Kaplan is with the Department of Epidemiology and the Center for Social Epidemiology and Population Health, School of Public Health, University of Michigan, Ann Arbor.)
Ano2010
Volume100
Fascículo1
Páginas137-145
Data de publicação2010-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.133892
PMID19197084
PMCIDPMC2791248
OpenAlexW2016473909
IdiomaEN
Citações recebidas12
Referências citadas61

Objectives. We examined associations between several life-course socioeconomic position (SEP) measures (childhood SEP, education, income, occupation) and diabetes incidence from 1965 to 1999 in a sample of 5422 diabetes-free Black and White participants in the Alameda County Study. Methods. Race-specific Cox proportional hazard models estimated diabetes risk associated with each SEP measure. Demographic confounders (age, gender, marital status) and potential pathway components (physical inactivity, body composition, smoking, alcohol consumption, hypertension, depression, access to health care) were included as covariates. Results. Diabetes incidence was twice as high for Blacks as for Whites. Diabetes risk factors independently increased risk, but effect sizes were greater among Whites. Low childhood SEP elevated risk for both racial groups. Protective effects were suggested for low education and blue-collar occupation among Blacks, but these factors increased risk for Whites. Income was protective for Whites but not Blacks. Covariate adjustment had negligible effects on associations between each SEP measure and diabetes incidence for both racial groups. Conclusions. These findings suggest an important role for life-course SEP measures in determining risk of diabetes, regardless of race and after adjustment for factors that may confound or mediate these associations

Developmental psychology · Diabetes mellitus · Environmental health · Incidence (geometry) · Life course approach · Population · Socioeconomic status · Sociology · Demography · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Endocrinology · Health disparities and outcomes · Medicine · Psychology · Gerontology