Minority Health Archive

Life-Course Socioeconomic Position and Incidence of Diabetes Mellitus Among Blacks and Whites: The Alameda County Study, 1965-1999

Maty, S. C. and James, S. A. and Kaplan, G. A. (2010) Life-Course Socioeconomic Position and Incidence of Diabetes Mellitus Among Blacks and Whites: The Alameda County Study, 1965-1999. American Journal of Public Health, 100 (1). pp. 137-145. ISSN 0090-0036

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Abstract

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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: risk of diabetes, socioeconomic position, diabetes
Subjects: Health > Health Equity
Health > Public Health > Chronic Illness & Diseases > Diabetes
Practice
Research
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Depositing User: Users 141 not found.
Date Deposited: 25 Jun 2011 20:12
Last Modified: 25 Jun 2011 20:12
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2633

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