{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:12:02Z","timestamp":1790604722486,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000001","name":"National Science Foundation","doi-asserted-by":"publisher","award":["361 1144081"],"award-info":[{"award-number":["361 1144081"]}],"id":[{"id":"10.13039\/100000001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Hum Biol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Migration\u2013health research frequently attributes cardiometabolic risk among migrants to post\u2010migration dietary and lifestyle change, despite limited empirical evidence from migrant\u2010sending communities. This assumption is particularly salient in studies of indigenous populations, where pre\u2010migration contexts are often treated as culturally traditional and implicitly protective. Using a mixed\u2010methods biocultural design, this study examines cardiometabolic risk among never\u2010migrant P'ur\u00e9pecha adults living in migrant\u2010sending communities in Michoac\u00e1n, Mexico, to assess whether commonly used sociocultural indicators are associated with cardiometabolic outcomes and to situate origin\u2010community health within broader population trends. We collected anthropometric measures, cardiometabolic biomarkers, and survey data from 193 adults and integrated these data with ethnographic observations of local food environments and comparisons to national surveillance benchmarks from ENSANUT. Cardiometabolic risk was widespread. Seventy\u2010five percent of participants were overweight or obese, 59% were hypertensive, 34% exhibited dysglycemia (HbA1c \u2265\u20095.7% or medication use), and 77% met criteria for metabolic syndrome. In multivariable analyses, age and sex were consistently associated with cardiometabolic risk, while income, perceived stress, language proficiency, and cultural\/ethnic identification were not independently associated with outcomes. Although bivariate differences by language group were observed, these associations disappeared after adjustment for age. When interpreted alongside ethnographic observations and population\u2010level benchmarks, these findings reveal that cardiometabolic risk is already embedded within the everyday environments of indigenous migrant\u2010sending communities. The lack of consistent associations between commonly used sociocultural indicators and health outcomes suggests that shared community\u2010level exposures may be more important than individual measures of language or cultural identification in shaping cardiometabolic health. By integrating biomarker, survey, and ethnographic data, this study demonstrates the value of a biocultural approach for understanding health before migration and provides a critical point of comparison for future migration\u2010health research.<\/jats:p>","DOI":"10.1002\/ajhb.70319","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T03:55:18Z","timestamp":1789358118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiometabolic Health in P'ur\u00e9pecha Migrant\u2010Sending Communities in Michoacan, Mexico"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3021-4346","authenticated-orcid":false,"given":"Isaura","family":"Cruz","sequence":"first","affiliation":[{"name":"Department of Anthropology Santa Clara University  Santa Clara California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5872-738X","authenticated-orcid":false,"given":"Amanda L.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Anthropology University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Nutrition, Gillings School of Global Public Health University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.064980"},{"issue":"109","key":"e_1_2_12_3_1","first-page":"139","article-title":"Obesidad en Comunidades Ind\u00edgenas Mayas. 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