IDEAS home Printed from https://ideas.repec.org/a/oup/geronb/v79y2024i12p179-185..html
   My bibliography  Save this article

Economic Disadvantage During Childhood, Obesity, and Diabetes Across Three Birth Cohorts of Older Mexicans

Author

Listed:
  • Jesús-Daniel Zazueta-Borboa
  • Rafael Samper-Ternent
  • Rebeca Wong
  • Neil Mehta

Abstract

ObjectivesDiabetes prevalence has increased markedly in Mexico. We examined the individual and joint contributions of economic disadvantage during childhood (EDDC) and elevated body weight on diabetes prevalence in 3 cohorts of Mexican adults.MethodsData on those 60–69 years old from the 1930–1939, 1940–1949, and 1950–1959 birth cohorts in Waves 1 (2001), 3 (2012), and 5 (2018) of the Mexican Health and Aging Study were used. EDDC was defined as the absence of a toilet in the household before age 10. Body mass status was defined using self-reported perceived body image at age 50. Diabetes was based on respondent reports. Supplementary analyses using HbA1c as a criterion for diabetes were conducted. A regression-decomposition approach was implemented. Logistic regression models included adjustments for sociodemographic characteristics and access to medical care.ResultsDiabetes prevalence was 23% overall and 11%, 25%, and 26% in the 1930–1939, 1940–1949, and 1950–1959 cohorts, respectively. EDDC declined across successive cohorts, whereas the prevalence of overweight/obesity at age 50 increased. EDDC and overweight/obesity were associated with higher odds of reporting diabetes. A scenario that eliminates disadvantaged EDDC reduced diabetes prevalence by 11% in a pooled sample, while eliminating overweight/obesity reduced it by 30%. Overweight/obesity explained 42% of the rise in diabetes prevalence between the 1930–1939 and 1950–1959 cohorts. Improvement in EDDC explained 18% of the rise in diabetes prevalence between 1930–1939 and 1950–1959 cohorts.DiscussionHigh body weight across Mexican birth cohorts seemed to offset the potential benefits from improvements in childhood conditions on adult diabetes risk.

Suggested Citation

  • Jesús-Daniel Zazueta-Borboa & Rafael Samper-Ternent & Rebeca Wong & Neil Mehta, 2024. "Economic Disadvantage During Childhood, Obesity, and Diabetes Across Three Birth Cohorts of Older Mexicans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 79(12), pages 179-185.
  • Handle: RePEc:oup:geronb:v:79:y:2024:i:12:p:179-185.
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/geronb/gbae178
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:geronb:v:79:y:2024:i:12:p:179-185.. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/psychsocgerontology .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.