Akiko S Hosler1,2, Thomas A Melnik1. 1. The Bureau of Chronic Disease Epidemiology and Surveillance, New York State Department of Health, Albany (Dr Hosler, Dr Melnik) 2. The Department of Epidemiology, University at Albany School of Public Health, Rensselaer, New York (Dr Hosler)
Abstract
PURPOSE: The purpose of this study was to assess the status of diabetes medical care and self-management among adult Puerto Ricans in New York City. METHODS: A random-digit-dialing telephone survey with a dual-frame sampling design was employed to obtain a probability sample of adult Puerto Ricans with diagnosed diabetes (n = 606). Demographic characteristics, health status, and indicators of diabetes medical care and self-management were collected using the standard Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. A statewide sample of adults with diagnosed diabetes (n = 232) was obtained from the BRFSS for comparison. RESULTS: Compared to New York State adults, Puerto Ricans were significantly less likely to receive annual A1C testing (72.7% vs 84.9%), cholesterol testing (67.5% vs 87.2%), blood-pressure-lowering medication (82.4% vs 91.9%), and pneumococcal vaccination (19.3% vs 28.5%, among those aged 18 to 64 years). Puerto Ricans were also less likely to take aspirin every day or every other day to prevent cardiovascular complications (30.6% vs 40.7%). Puerto Ricans were younger and more likely to have lower educational attainment and lower income than New York State adults, but they were not significantly disadvantaged in access to health care indicated by rates of health insurance coverage, having a particular place for medical care, and frequencies of seeing a provider for diabetes. CONCLUSIONS: These findings support the need to introduce culturally sensitive and linguistically appropriate diabetes education programs for Puerto Ricans and continue system-based diabetes care quality improvement efforts in the areas of prevention and control of cardiovascular complications, adult immunization, and A1C testing.
PURPOSE: The purpose of this study was to assess the status of diabetes medical care and self-management among adult Puerto Ricans in New York City. METHODS: A random-digit-dialing telephone survey with a dual-frame sampling design was employed to obtain a probability sample of adult Puerto Ricans with diagnosed diabetes (n = 606). Demographic characteristics, health status, and indicators of diabetes medical care and self-management were collected using the standard Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. A statewide sample of adults with diagnosed diabetes (n = 232) was obtained from the BRFSS for comparison. RESULTS: Compared to New York State adults, Puerto Ricans were significantly less likely to receive annual A1C testing (72.7% vs 84.9%), cholesterol testing (67.5% vs 87.2%), blood-pressure-lowering medication (82.4% vs 91.9%), and pneumococcal vaccination (19.3% vs 28.5%, among those aged 18 to 64 years). Puerto Ricans were also less likely to take aspirin every day or every other day to prevent cardiovascular complications (30.6% vs 40.7%). Puerto Ricans were younger and more likely to have lower educational attainment and lower income than New York State adults, but they were not significantly disadvantaged in access to health care indicated by rates of health insurance coverage, having a particular place for medical care, and frequencies of seeing a provider for diabetes. CONCLUSIONS: These findings support the need to introduce culturally sensitive and linguistically appropriate diabetes education programs for Puerto Ricans and continue system-based diabetes care quality improvement efforts in the areas of prevention and control of cardiovascular complications, adult immunization, and A1C testing.
Authors: Chandra Y Osborn; K R Amico; Noemi Cruz; Ann A O'Connell; Rafael Perez-Escamilla; Seth C Kalichman; Scott A Wolf; Jeffrey D Fisher Journal: Health Educ Behav Date: 2010-11-12
Authors: Elizabeth A Walker; Lynn D Silver; Shadi Chamany; Clyde B Schechter; Jeffrey S Gonzalez; Jeidy Carrasco; Danielle Powell; Diana Berger; Charles E Basch Journal: West J Nurs Res Date: 2014-01-09 Impact factor: 1.967
Authors: Vivian Colón-López; Geetanjoli Banerjee; Alida María Gertz; Ana Patricia Ortiz; William Calo; Lila J Finney-Rutten; Uriyoán Colón-Ramos; Bradford W Hesse; Guillermo Tortolero Journal: P R Health Sci J Date: 2013-12 Impact factor: 0.705
Authors: Chandra Y Osborn; K Rivet Amico; Noemi Cruz; Rafael Perez-Escamilla; Seth C Kalichman; Ann A O'Connell; Scott A Wolf; Jeffrey D Fisher Journal: Transl Behav Med Date: 2011-09 Impact factor: 3.046
Authors: Lucinda B Leung; Arturo Vargas-Bustamante; Ana E Martinez; Xiao Chen; Hector P Rodriguez Journal: Health Serv Res Date: 2016-10-21 Impact factor: 3.402