Introduction and Objective: Type 2 diabetes (T2D) prevalence among U.S. Hispanics exceeds the national average, driven by socioeconomic challenges, genetic predispositions, and limited healthcare access. Variations across subgroups suggest cultural and immigration-related factors may play a role. This study evaluates the association of these factors with T2D and prediabetes among rural Hispanic/Latino adults.Methods: This cross-sectional study analyzed self-reported and clinical data from 172 Hispanic/Latino adults in rural Midwest U.S. Diabetes and prediabetes were determined using HbA1c levels (A1CNow). Five cultural/immigration factors (age at immigration, English proficiency, family cohabitation dynamics, length of U.S. stay, and country of origin) were assessed. Univariate and multivariable models adjusted for age, gender, poverty index, and lifestyle factors (e.g., physical activity, diet) were used to evaluate associations.Results: Of participants (62.2% female, mean age 36.7 years), 25% had diabetes or prediabetes. In univariate analysis, language barriers and country of origin were significantly associated with diabetes/prediabetes. Adjusted models revealed no independent associations for cultural/immigration factors (p>0.05). Age and poverty index were the strongest predictors, with older age and higher poverty levels linked to increased risk.Conclusion: Cultural and immigration-related factors were not independently associated with diabetes/prediabetes risk in adjusted models, while age and poverty index emerged as key predictors. Addressing socioeconomic disparities and improving access to preventive healthcare are critical for reducing diabetes burden in Hispanic/Latino populations.
Q. Ding: None. M.A. Grismer: None. B.S. Wojeck: Consultant; Key Quest Health. D.G. Marrero: None.
Indiana Minority Health Coalition
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