The Provision of Diabetes-Monitoring Exams to Older Latinos
Published Date:Oct 2011
Source:J Aging Health. 2011; 23(7):1075-1100.
Diabetes Mellitus, Type 2
Health Services Accessibility
Hemoglobin A, Glycosylated
Type 2 Diabetes
Pubmed Central ID:PMC3378317
Funding:U48 DP000045/DP/NCCDPHP CDC HHS/United States
T32 MH019934/MH/NIMH NIH HHS/United States
5U48 DP000045/DP/NCCDPHP CDC HHS/United States
P30 MH080002/MH/NIMH NIH HHS/United States
T32 MH19934-16/MH/NIMH NIH HHS/United States
To explore factors associated with the provision of diabetes-monitoring practices among older Latinos with type 2 diabetes.
Data from 547 Latinos (≥55 years) were analyzed from the 2007 California Health Interview Survey. Multivariate logistic regression modeled the relationship between health status and sociodemographic factors and the receipt of semiannual HbA1c tests, annual foot exams, and annual retinal exams.
The majority of older Latino diabetics received foot exams (87%) and retinal exams (77%), but the provision of semiannual HbA1c tests (30%) was low. Higher English-language proficiency and health insurance coverage were associated with the provision of HbA1c tests and foot exams, but not retinal exams. Insulin therapy was positively associated with semiannual HbA1c testing, but negatively associated with foot exams.
There are considerable missed opportunities in the provision of diabetes monitoring for older Latinos, particularly those with limited English proficiency, less comprehensive insurance, and noninsulin therapy.
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