Sociodemographic Factors And Self-Management Practices Related To Type 2 Diabetes Among Hispanics And Non-Hispanic Whites In A Rural Setting
Author: Coronado, Gloria
Date Published: 2007
Hispanics in the United States have a higher prevalence of non-insulin-dependent diabetes mellitus (type 2 diabetes) and experience more complications for the disease than non-Hispanic whites. Differences in meidcal management or self-management practices may be, in part, explain the relative high risk for diabetes complications among Hispanics. Purpose: Using data from a community randomized intervention study on cancer prevention, we examined the medical management and self-management practices of Hispanics and on-Hispanic whites who have diabetes. Methods: Locally hired bilingual personnel conducted in-person interviews of a random selection of 1,863 adults in 20 communities in the Yakima Valley of eastern Washington State. Findings: A total of 80 Hispanics (7.3 percent age-adjusted prevalence) reported having type 2 diabetes. Hispanics with a high level of acculturation were slightly more likely to have diabetes, compared to those with a low level of acculturation, though the association was nonsignificant. Hispanics were significantly less likely than non-Hispanic whites to treat their diabetes with diet and exercise (36 percent vs. 61.3 percent; P less than 1 .001) Annual eye examinations were less commonly reported among Hispanics (48.9 percent) than among non-Hispanic whites (72.7 percent). Conclusions: Our data indicate that Hispanics engage less frequently in self-management practices to control diabetes than non-Hispanic whites. Link: http://www.ncbi.nlm.nih.gov/pubmed/17300478
Date Published: 2007
Hispanics in the United States have a higher prevalence of non-insulin-dependent diabetes mellitus (type 2 diabetes) and experience more complications for the disease than non-Hispanic whites. Differences in meidcal management or self-management practices may be, in part, explain the relative high risk for diabetes complications among Hispanics. Purpose: Using data from a community randomized intervention study on cancer prevention, we examined the medical management and self-management practices of Hispanics and on-Hispanic whites who have diabetes. Methods: Locally hired bilingual personnel conducted in-person interviews of a random selection of 1,863 adults in 20 communities in the Yakima Valley of eastern Washington State. Findings: A total of 80 Hispanics (7.3 percent age-adjusted prevalence) reported having type 2 diabetes. Hispanics with a high level of acculturation were slightly more likely to have diabetes, compared to those with a low level of acculturation, though the association was nonsignificant. Hispanics were significantly less likely than non-Hispanic whites to treat their diabetes with diet and exercise (36 percent vs. 61.3 percent; P less than 1 .001) Annual eye examinations were less commonly reported among Hispanics (48.9 percent) than among non-Hispanic whites (72.7 percent). Conclusions: Our data indicate that Hispanics engage less frequently in self-management practices to control diabetes than non-Hispanic whites. Link: http://www.ncbi.nlm.nih.gov/pubmed/17300478
