The Provision of Diabetes-Monitoring Exams to Older Latinos

Herrera, Angelica P.; Lee Smith, Matthew; Ory, Marcia G.; Rodriguez, Hector P.; Warre, Ruth; Thompson, Wesley K.; Azcue, Annette; Romero, Jairo A.

doi:10.1177/0898264311421370

i

The Provision of Diabetes-Monitoring Exams to Older Latinos

Supporting Files

Oct 2011
By Herrera, Angelica P. ; Lee Smith, Matthew ; Ory, Marcia G. ; ...

File Language:

English

Details

Alternative Title:

J Aging Health
Personal Author:

Herrera, Angelica P. ; Lee Smith, Matthew ; Ory, Marcia G. ; Rodriguez, Hector P. ; Warre, Ruth ; Thompson, Wesley K. ; Azcue, Annette ; Romero, Jairo A.
Description:

Objectives

To explore factors associated with the provision of diabetes-monitoring practices among older Latinos with type 2 diabetes.

Method

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.

Results

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.

Discussion

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.
Subjects:

Aged Diabetes Mellitus, Type 2 Female Health Services Accessibility Health Surveys Hemoglobin A, Glycosylated Hispanic Or Latino Humans Hypoglycemic Agents Insulin Insurance, Health Male Middle Aged Multilingualism Physical Examination
Source:

J Aging Health. 2011; 23(7):1075-1100.
Pubmed ID:

21948771
Pubmed Central ID:

PMC3378317
Document Type:

Journal Article
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
Place as Subject:

California
Volume:

23
Issue:

7
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:f7fbce08aa629b310071bc05a228b906d388e802ddcd62579b17512621cae79a
Download URL:

https://stacks.cdc.gov/view/cdc/33388/cdc_33388_DS1.pdf
File Type:

[PDF - 472.31 KB ]

File Language:

English

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