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Health behaviors and quality of care among Latinos with diabetes in managed care.
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- Author(s): Brown AF;Brown AF; Gerzoff RB; Karter AJ; Gregg E; Safford M; Waitzfelder B; Beckles GL; Brusuelas R; Mangione CM
- Source:
American journal of public health [Am J Public Health] 2003 Oct; Vol. 93 (10), pp. 1694-8.- Publication Type:
Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.- Language:
English - Source:
- Additional Information
- Corporate Authors:
- Source: Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print Cited Medium: Print ISSN: 0090-0036 (Print) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
- Publication Information: Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.] - Subject Terms: Outcome and Process Assessment, Health Care*; Diabetes Mellitus, Type 2/*ethnology ; Diabetes Mellitus, Type 2/*therapy ; Health Behavior/*ethnology ; Hispanic or Latino/*psychology ; Managed Care Programs/*standards ; Patient Compliance/*ethnology; Adult ; Aged ; Blood Glucose Self-Monitoring ; Cohort Studies ; Glycated Hemoglobin/analysis ; Health Services Accessibility ; Humans ; Language ; Middle Aged ; United States ; White People/psychology
- Abstract: Objectives: We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care.
Methods: Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking Latinos.
Results: Latinos had lower rates of self-monitoring of blood glucose and worse glycemic control than did Whites, higher rates of foot self-care and dilated-eye examinations, and comparable rates of other processes and intermediate outcomes of care.
Conclusions: Although self-management and quality of care are comparable for Latinos and Whites with diabetes, important ethnic disparities persist in the managed care settings studied. - References: Inquiry. 1999 Fall;36(3):318-31. (PMID: 10570664)
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Diabetes Care. 2000 Apr;23(4):477-83. (PMID: 10857938) - Grant Information: AG-02-004 United States AG NIA NIH HHS
- Contributed Indexing: Indexing Agency: KIE Local ID #: 113831.
Keywords: Empirical Approach; Health Care and Public Health
Note: 32 refs. Note: KIE Bib: health care/economics; patient care - Accession Number: 0 (Glycated Hemoglobin A)
- Publication Date: Date Created: 20031010 Date Completed: 20031120 Latest Revision: 20221207
- Publication Date: 20221213
- Accession Number: PMC1448036
- Accession Number: 10.2105/ajph.93.10.1694
- Accession Number: 14534224
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