Preprint / Version 1

The Impact of Acculturation on Type 2 Diabetes Risk Among Indian Americans


  • Aani Nagaiah Ms.



india, indian american, immigrant, diaspora, migration, acculturation, medical anthropology, immigration, culture


Type 2 diabetes mellitus (T2DM) is a growing health concern among Indian Americans, who have a high prevalence of T2DM compared to other ethnic groups in the United States. This paper examines the impact of acculturation on T2DM risk among first-generation Indian American immigrants through the lens of medical anthropology. As a review of existing literature, it explores cultural factors related to diet, physical activity, stress, and healthcare practices that may contribute to increased T2DM susceptibility after immigration. Potential protective factors related to maintenance of traditional practices are also discussed. The paper proposes future anthropological research directions to further investigate the complex relationship between acculturation and T2DM risk among Indian Americans. Culturally-appropriate interventions and public health strategies are necessary to address modifiable T2DM risk factors in acculturating Indian American communities. 


Singh, G. K., and M. Siahpush. "Ethnic-immigrant differentials in health behaviors, morbidity, and cause-specific mortality in the United States: An analysis of two national data bases." Human Biology 74 (2002): 83-109.

Abraído-Lanza, A. F., S. E. Echeverría, and K. R. Flórez. "Latino immigrants, acculturation, and health: Promising new directions in research." Annual Review of Public Health 37 (2016): 219-236.

Patel, S. A., M. K. Ali, K. M. V. Narayan, and S. S. Mehta. "Global diabetes: an old disease takes on new dimensions." PLOS ONE 10, no. e0136631 (2015).

Lesser, I. J., G. P. Gasevic, and M. B. Lear. "The association between acculturation and dietary patterns of South Asian immigrants." PLOS ONE 9, no. e88495 (2014).

Kandula, N. R., L. P. Cooper, and M. S. Schneider. "Exploring the role of social support and coping strategies in predicting breast cancer screening behaviour among older Hispanic women." Journal of Psychosocial Oncology 26 (2008): 1-20.

Tanvir, S. A., F. S. Theorell, P. A. Hyde, and P. R. Montes. "Worksite stress management training: Moderated effects and clinical significance." Journal of Occupational Health Psychology 17 (2012): 214-224.

Thomas, A., and A. Ashcraft. "Type 2 Diabetes Risk among Asian Indians in the US: A Pilot Study." Nursing Research and Practice 2013 (2013): 492893. doi:10.1155/2013/492893.

Deshpande, T. N., S. S. Patil, S. B. Gharai, S. R. Patil, and P. M. Durgawale. "Menstrual hygiene among adolescent girls - A study from urban slum area." Journal of Family Medicine and Primary Care 7, no. 6 (2018): 1439-1445. doi:10.4103/jfmpc.jfmpc_80_18.

Talegawkar, S. A., S. Bandinelli, K. Bandeen-Roche, P. Chen, Y. Milaneschi, T. Tanaka, R. D. Semba, J. M. Guralnik, and L. Ferrucci. "A higher adherence to a Mediterranean-style diet is inversely associated with the development of frailty in community-dwelling elderly men and women." The Journal of Nutrition 142, no. 12 (2012): 2161-2166. doi:10.3945/jn.112.165498.