Date of Award

2018-12-01

Degree Name

Master of Public Health

Department

Public Health

Advisor(s)

Jeannie B. Concha

Abstract

Background: The prevalence of diabetes is significantly higher in Hispanic/Latinos compared to non-Hispanic Whites, and even higher in men than in women. Foreign-born Hispanic/Latinos have lower prevalence of diabetes when first arriving to the U.S., however the longer the years of residence, and greater generations, they develop a greater risk for diabetes. Objectives: The objectives of this study were to: a) examine the relationship between Immigrant Generation Status (IGS), Diabetes Risk Perception (DRP), and Intent to Engage in Self-Care Behaviors (IES-CB) and b) investigate the role of Socioeconomic Status (SES) on this relationship. Hypothesis: First IGS individuals, compared to 2nd and 3rd+ generations, will have a greater DRP and IES-CB due to optimism associated to migration especially found in fields of education, however with increased SES, we propose an inverse relationship between 2nd and 3rd+ IGS, DRP and IES-CB. Method: A cross-sectional study design was used to examine the Community Assessment of Men's Diabetes Risk survey (N=64) conducted in 2018. Descriptive and linear regression analysis was conducted using SPSS software. Results: The data supports the null hypothesis as there was no relationship between IGS and DRP (R 2: 0.14, p value =0.42), and IES-CB (R2: 0.11, p value =0.57) after controlling for American Diabetes Association (ADA) risk score, diabetes knowledge, and age. Neither of the SES variables (i.e. education, employment and household income) influenced DRP (R 2=0.19, p value =0.56; p value=0.75; p value=0.93, respectively), nor IES-CB (R2: 0.10, p value=0. 85; p value=0.75; p value=0.40 respectively). However, there was significant association between the dependent DPR and IES-CB and independent ADA risk score (p value=0.03, p value=0.02, respectively). Conclusion: Optimistic attitudes in education by first generations do not directly translate to IES-CB. Recommendation: Future studies should examine positive characteristics of immigrant populations to identity strength-based approaches for diabetes prevention and management programs.

Language

en

Provenance

Received from ProQuest

File Size

65 p.

File Format

application/pdf

Rights Holder

Narges Khatun Kalantarian

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