TY  - JOUR
AU  - Raquinio, Phyllis Aira Sheer H.
AU  - Maskarinec, Gertraud
AU  - Dela Cruz, Rica
AU  - Setiawan, Veronica W.
AU  - Kristal, Bruce S.
AU  - Wilkens, Lynne R.
AU  - Le Marchand, Loic
PY  - 2021
TI  - Type 2 Diabetes Among Filipino American Adults in the Multiethnic Cohort
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E98
VL  - 18
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - INTRODUCTION  Several Asian racial and ethnic groups, including individuals of Filipino ancestry, are at higher risk of developing type 2 diabetes than White individuals, despite their lower body mass index (BMI). This study examined determinants of type 2 diabetes among Filipino American adults in the Multiethnic Cohort Study. METHODS  Participants in Hawaii and Los Angeles completed questionnaires on demographics, diet, and anthropometrics. Generational status was determined according to birthplace of participants and their parents. Based on self-reported data and data on medications, type 2 diabetes status was classified as no, prevalent, or incident. We used polytomous logistic regression, while adjusting for confounders, to obtain odds ratios. RESULTS  Among 10,681 Multiethnic Cohort Study participants reporting any Filipino ancestry, 57% were 1st-, 17% were 2nd-, and 25% were 3rd-generation Filipino Americans. Overall, 13% and 17% of participants had a prevalent or incident type 2 diabetes diagnosis. Overweight and obesity and the presence of other risk factors increased from the 1st to subsequent generations. First-generation immigrants were less likely to report type 2 diabetes at cohort entry than immigrants of subsequent generations who were born in the US or whose parents were born in the US; only the prevalence of type 2 diabetes was significantly elevated in the 2nd generation compared with the 1st generation. CONCLUSION  The results support the hypothesis that Filipino migrants adopt lifestyle factors of the host country and subsequent generations experience higher type 2 diabetes rates due to changes in risk factor patterns.
SN  - 1545-1151
UR  - https://doi.org/10.5888/pcd18.210240
DO  - 10.5888/pcd18.210240
ER  -