Date of Conferral



Doctor of Public Health (DrPH)


Public Health


Jennifer J. Edwards


Type 2 diabetes mellitus is highly prevalent among African Americans. Africans born abroad are a subset of the African American population in the U.S., but few studies have been conducted on this population, a gap this study aims to close. The incidence and prevalence of type 2 diabetes continue to rise among this population. This study explored type 2 diabetes risk factors among Africans born abroad who were 20-45 years old in the U.S. This was a retrospective and quantitative cross-sectional study involving National Health and Nutrition Examination Survey (NHANES) 2013-2014 type 2 diabetes data. The total sample size was 2,560 respondents with type 2 diabetes. Univariate analysis was conducted for descriptive statistics to analyze data. Multivariate analysis was conducted to identify significant variables and their effects. The findings of the study indicated that age (P = 0.000 < α = 0.05, OR = 9.475 > 1) and gender (P = 0.043 < α = 0.05, OR = 1.580 > 1) were statistically significant predisposing risk factors for the development of type 2 diabetes among Africans born abroad who are 20 to 45 years old in the U.S. The odds of exposure was greater with advanced age. This study could contribute to interventions targeting improving diabetes health literacy among the target population, public healthcare providers, and policymakers leading to positive social change.