American Journal of Epidemiology Vol. 144, No. 7: 674-681
Copyright © 1996 by The Johns Hopkins University School of Hygiene and Public Health
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Acculturation and Prevalence of Diabetes among Japanese-American Men in Hawaii
1Honolulu Heart Program, Honolulu-Asia Aging Study and Women's Health Initiative, The Research Corporation of the University of Hawaii, Division of Clinical Epidemiology, School of Medicine Honolulu, HI
2Honolulu Epidemiology Research Section, Epidemiology and Biometry Program, National Heart, Lung, and Blood Institute Honolulu, HI
3Marshfield Medical Research Foundation Marshfield, WI
Reprint requests to Dr. Boji Huang, Honolulu Heart Program, The Research Corporation of the University of Hawaii, Division of Clinical Epidemiology, School of Medicine, 347 N. Kuakini St., Honolulu, HI 96817.
The association between acculturation to a Western lifestyle and prevalence of diabetes was examined among 8, 006 Japanese-American men in Hawaii with varying degrees of exposure to traditional Japanese social and cultural lifestyles in 1965–1968. A reduced prevalence of diabetes was observed among the men who had retained a more Japanese lifestyle. These men also reported higher levels of physical activity and consumed more carbohydrates and less fat and animal protein in their diet. An inverse association between diabetes and being bom in Japan was observed independent of age, body mass Index, physical activity, and percentages of calories from fat or carbohydrates (odds ratios = 0.67 and 0.66, 95% confidence intervals 0.49–0.93 and 0.48–0.91, respectively). The number of total years lived in Japan was inversely associated with prevalent diabetes after controlling for age, body mass index, and physical activity (odds ratio = 0.81, 95% confidence interval 0.68–0.96). Current Oriental diet (compared with Western diet) was inversely associated with prevalent diabetes after controlling for age, body mass index, and physical activrty (odds ratio = 0.71, 95% confidence interval 0.50–0.98). These findings suggest that living a Japanese lifestyle is associated with a reduced prevalence of diabetes. Am J Epidemiol 1996;144:674–81.
acculturation; body mass index; diabetes mellitus; diet; life style; risk factors
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