Racial and Ethnic Disparities in Healthcare Rating, Diabetes Self-efficacy, and Diabetes Management Among Non-pregnant Women of Childbearing Age: Does Socioeconomic Status Matter?

The influence of patient-provider communication quality on ratings of healthcare, self-efficacy, and care management among non-pregnant women of childbearing age with diabetes mellitus in the United States

“…Our ndings therefore correspond with previous research showing that patients who report optimal PPC are more likely to perform diabetes self-management behaviors, which are directly linked with improved health outcomes such as glycemic control (Gao et al, 2013). This nding is especially important considering prior research demonstrating that non-Hispanic Black women of childbearing age with diabetes have a 54% lower odds of reporting higher levels of diabetes care management after adjustment (Brown et al, 2022). While our results did not show any statistical signi cance in PPC quality by age, race/ethnicity, marital status, education, income based on federal poverty level, health insurance, or perceived health status.…”

“…This association is important because self-e cacy itself is associated with diabetes self-care and management behaviors, and ultimately glycemic control (Peimani et al, 2020). Our results may be explained by the overall high levels of diabetes care self-e cacy in this sample of childbearing age women with diabetes, which has been observed in prior research (Brown et al, 2022). It is not clear what factors may have contributed to the higher levels of diabetes care self-e cacy and future research is needed to understand what other factors might in uence diabetes care self-e cacy in this population.…”

“…This study contributes to the growing body of literature surrounding PPC quality for non-pregnant women of childbearing age living with diabetes (Brown et al, 2022). Speci cally, it contributes by examining how PPC quality relates with diabetes management outcomes.…”

“…In this study, predictor variables were measured during panel 2 during year 1 and outcome variables were measured during panels 3 and 5 during year 2. More information about the sampling and data collection has been reported previously (Brown et al, 2022). The sample included non-pregnant women of childbearing age (18-45 years) with diabetes.…”

“…Based on the skewness of the data and previous studies (Brown et al, 2022), ratings were dichotomized (0-7 and 8-10). Second, women reported their diabetes self-e cacy by answering the question, "how con dent are you in taking care of your diabetes?"…”