Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd14.170095
Personal Author:
Li, Dongmei ; Chinn, Chuan C. ; Fernandes, Ritabelle ; Wang, Christina M.B. ; Smith, Myra D. ; ... More +
Li, Dongmei ; Chinn, Chuan C. ; Fernandes, Ritabelle ; Wang, Christina M.B. ; Smith, Myra D. ; Ozaki, Rebecca Rude Less -
Description:
Introduction

Medicaid is the largest primary health insurance for low-income populations in the United States, and it provides comprehensive benefits to cover treatment and services costs for chronic diseases, including diabetes. The standardized per capita spending on diabetes by Medicare beneficiaries enrolled in the fee-for-service program in Hawaii increased from 2012 to 2015. We examined the difference in odds of diabetes between Medicaid and non-Medicaid populations in major racial/ethnic groups in Hawaii.

Methods

We used data from 2013 through 2015 from the Hawaii Behavioral Risk Factor Surveillance System in this cross-sectional study to compare the difference in risk for self-reported diabetes between Medicaid (n = 1,889) and non-Medicaid (n = 17,207) beneficiaries. We used multivariate logistic regression models that could accommodate the complex sampling design to examine the difference in odds of diabetes between the 2 populations.

Results

In Hawaii, the Medicaid population was younger, was less educated, had more health impairments, and was more likely to be obese and Native Hawaiian/Other Pacific Islander (NH/OPI) than the non-Medicaid population. The unadjusted prevalence of diabetes in the Medicaid population in Hawaii was higher than that for the non-Medicaid population (10.3% vs 8.9%, P = .02). After adjusting for confounding variables, the odds of diabetes in the Medicaid population was still significantly higher than those in the non-Medicaid population (adjusted odds ratio [AOR] = 1.75; 95% confidence interval [CI], 1.33–2.31). Adjusted analysis stratified by race/ethnicity showed that non-Hispanic Asian (AOR = 2.23; 95% CI, 1.31–3.78) and NH/OPI (AOR = 3.17; 95% CI, 1.05–9.54) Medicaid beneficiaries had significantly higher odds of diabetes than their non-Medicaid counterparts.

Conclusion

The odds of diabetes was significantly higher among the Hawaii Medicaid population than among the non-Medicaid population. Diabetes prevention programs should address the challenges and barriers that the Medicaid population faces. Our findings can be used to promote culturally competent diabetes education programs.


Subject:
[+]
Aged
Behavioral Risk Factor Surveillance System
Diabetes Mellitus
Ethnicity
Female
Humans
Male
Medicaid
Middle Aged
Odds Ratio
Racial Groups
Risk Factors

Source:
Prev Chronic Dis. 14.
Pubmed ID:
29166251
Pubmed Central ID:
PMC5703651
Document Type:
Journal Article
Name as Subject:
Behavioral Risk Factor Surveillance System
Place as Subject:
Hawaii
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:556c07993e9f2310f945a92c8e6f54fecfcaa30306637c0dc341436cd727889d
File Type:

Supporting Files

• PCD-14-E116.nxml

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