The hidden cost of moving up: Type 2 diabetes and the escape from persistent poverty in the American South

Onlinelibrary.wiley.com: 19 JUN 2013

The paper tests the thrifty phenotype hypothesis, according to which nonharmonious growth trajectories are costly for adult health.

Methods

The American surge in the prevalence of type 2 diabetes is concentrated in the South, a region characterized by a long history of poverty followed by rapid economic growth beginning in the 1960s. Civil rights legislation further accelerated income growth for African-Americans in the region. The paper investigates the hypothesis by using per capita income at the state level as a proxy for net nutritional conditions. Read more