Racial differences in diabetes self-management and quality of care in Texas

Nwasuruba, Chiagozie; Osuagwu, Christie; Bae, Sejong; Singh, Karan P.; Egede, Leonard E.

doi:10.1016/j.jdiacomp.2007.11.005

Cited by 48 publications

(44 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings show diabetes education is significantly associated with diet and exercise among older Hispanics with diabetes and who are overweight or obese, which confirms previous research from the Behavioral Risk Factor Surveillance System, the National Health and Nutrition Examination Survey with predominately overweight and obese samples (≥18 years), and other studies involving elderly Hispanics aged 55 and older (Brown et al, 2003;Coronado et al, 2007;Harris et al, 1999;Nelson et al, 2002;Nothwehr & Stump, 2000;Nwasuruba et al, 2007;Nwasuruba et al, 2009;Thackeray et al, 2004;. However, more than two thirds of participants (71.3%) in our study reported they have never received diabetes education, a much higher percentage compared with the U.S. adult population with diabetes (57.4%; Centers for Disease Control and Prevention, 2010).…”

Section: Discussionsupporting

confidence: 90%

Factors Associated With Diet and Exercise Among Overweight and Obese Older Hispanics With Diabetes

et al. 2017

View full text Add to dashboard Cite

Understanding personal and family support factors influencing lifestyles among older overweight and obese Hispanics with type 2 diabetes is critical for enhancing disease management. A survey was administered to 115 respondents recruited using convenience sampling. Descriptive and inferential statistics were employed for analyses. More than two thirds of participants have never received diabetes education. Family support was significantly associated with diet. Gender, marital status, and education were associated with exercise. Diabetes education was associated with both diet and exercise. Familybased diabetes education in community settings may be an effective strategy for promoting healthy behaviors among older overweight/obese Hispanics.

show abstract

Section: Discussionsupporting

confidence: 90%

Factors Associated With Diet and Exercise Among Overweight and Obese Older Hispanics With Diabetes

et al. 2017

View full text Add to dashboard Cite

show abstract

“…[6][7][8] Research among older Hispanics suffering from different chronic conditions shows that health care utilization is associated with aging, sex, insurance, chronic conditions, and having a regular health provider. 9,10 However, there is a paucity of studies examining predictors of health care access in aging Hispanics with type 2 diabetes in the United States.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Health Care Utilization in Older Hispanics with Diabetes along the Texas-Mexico Border

Mier

Wang²,

Smith³

et al. 2012

Population Health Management

View full text Add to dashboard Cite

Little is known about predictors of health care utilization for older Hispanics with chronic conditions. This study aimed to determine: (1) the level of health care access for older Hispanics with type 2 diabetes living in a US-Mexico border area; and (2) personal and health correlates to health care utilization (ie, physician visits, eye care, emergency room [ER] use). This was a cross-sectional study based on a community assessment conducted at a clinic, senior centers, and colonias. Colonias are impoverished neighborhoods with substandard living conditions along the US-Mexico border. Hispanics living in colonias are one of the most disadvantaged minority groups in the United States. The study sample consisted of 249 Hispanics age 60 years and older who have type 2 diabetes. Descriptive analyses, multiple linear regression, and generalized linear models were conducted. Older age (P = 0.02) and affordability of physician fees (P = 0.02) were significant correlates to more frequent physician visits. Factors significantly associated with eye care were being insured (P = 0.001) and reporting high cholesterol (P = 0.005). ER use was significantly associated with younger age (60-64 years old; P = 0.03) and suffering from hypertension (P = 0.02). Those who received diabetes education (P = 0.04) were less likely to use the ER. Identifying patterns of health care utilization services in aging underserved minorities who are disproportionately affected by diabetes may lead to culturally appropriate preventive practices and timely access to health care. Adequate health care access can decrease or delay the onset of diabetes complications in older Hispanics with type 2 diabetes who live along the US-Mexico border. (Population Health Management 2012;15:149-156)

show abstract

“…However, Hispanics with type 2 diabetes show poorer self-management of the disease than non-Hispanic Whites, and only 36.8% of Mexican Americans with diabetes have their hemoglobin A1C (A1C) under control, compared to 60% of non-Hispanic Whites 6 . Many Hispanics fail to adhere to the diabetes self-management recommendations of the American Diabetes Association 7,8 . Hispanics are 2.09 times less likely than non-Hispanic Whites to perform adequate physical activity 9 and 36% less likely than Whites to self-monitor blood glucose 7,8 .…”

mentioning

confidence: 99%

“…More Hispanics live in poverty (23.2%) than non-Hispanic Whites (8.6%) 21 and many more Hispanic Americans with diabetes (60%) than non-Hispanic Whites with diabetes (28%) have an annual income below $20,000 22 . Hispanics with diabetes also have poorer access to care and poorer health status 8 . Lack of health insurance 23 and the cost of medications have been identified as barriers to diabetes self-management for Mexican-Americans 24,25 .…”

mentioning

confidence: 99%

Perceptions of Barriers in Managing Diabetes

Amirehsani

Wallace

et al. 2013

Diabetes Educ

View full text Add to dashboard Cite

Hispanics show poorer self-management of type 2 diabetes than non-Hispanic Whites. Although previous studies have reported socioeconomic and cultural barriers to diabetes self-management by Hispanics, little is known about perceived barriers to diabetes self-management from the perspectives of both Hispanics and their family members. Purpose The purpose of the study was to explore perceived barriers among Hispanic immigrants with diabetes and their family members. Methods A qualitative study using five focus groups was conducted. A total of 73 Hispanic immigrants with type 2 diabetes (n=36) and family members (n=37) were recruited in the southeastern United States for a family-based intervention study of diabetes-self management. Participants were asked to describe their perceptions of barriers to self-management. The five sessions were audiotaped and transcribed, translated from Spanish into English, and analyzed using standard content analysis. Demographics, hemoglobin A1C levels, blood pressure and BMI were obtained both for participants with diabetes and for their family members. Results Barriers to diabetes self-management themes identified by participants with diabetes were in three major themes categorize: suffering from diabetes, difficulties in managing the disease, and lack of resources/support. Two key themes emerged pertaining to family members: we can provide support and we lack knowledge. Conclusions Perceived barriers to diabetes self-management described by Hispanic immigrants with diabetes and family members indicate a lack of intervention strategies to meet their needs. Interventions should include culturally relevant resources, family support, and diabetes self-management skills education.

show abstract

Racial differences in diabetes self-management and quality of care in Texas

Cited by 48 publications

References 24 publications

Factors Associated With Diet and Exercise Among Overweight and Obese Older Hispanics With Diabetes

Factors Associated With Diet and Exercise Among Overweight and Obese Older Hispanics With Diabetes

Factors Influencing Health Care Utilization in Older Hispanics with Diabetes along the Texas-Mexico Border

Perceptions of Barriers in Managing Diabetes

Contact Info

Product

Resources

About