Marylyn Morris McEwen1, Pei-Chao Lin2, Alice Pasvogel1. 1. The University of Arizona College of Nursing, Tucson, Arizona, USA (Dr McEwen, Dr Pasvogel) 2. Primary affiliation is a lecturer in Yuh-Ing Junior College of Health Care & Management in Taiwan. Secondary affiliation is a doctoral candidate in School of Nursing, Kaohsiung Medical University in Taiwan.
Abstract
PURPOSE: The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals. METHODS: Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance. RESULTS: There were significant differences in health care access and utilization and in 1 self-management behavior (daily feet checks) across the counties. The majority of participants (83.4%) had a care provider, however the HP 2020 diabetes target goals for A1C monitoring or foot exams conducted by a care provider were not met. Participants in all counties met the target goal for dilated eye exams. CONCLUSIONS: Improvement of diabetes management among this population should focus on border health system barriers to attaining HP 2020 diabetes target goals.
PURPOSE: The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals. METHODS: Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance. RESULTS: There were significant differences in health care access and utilization and in 1 self-management behavior (daily feet checks) across the counties. The majority of participants (83.4%) had a care provider, however the HP 2020 diabetes target goals for A1C monitoring or foot exams conducted by a care provider were not met. Participants in all counties met the target goal for dilated eye exams. CONCLUSIONS: Improvement of diabetes management among this population should focus on border health system barriers to attaining HP 2020 diabetes target goals.
Authors: Pramil N Singh; Jessica Steinbach; Anna Nelson; Wendy Shih; Mary D'Avila; Selene Castilla; Michael Jordan; William J McCarthy; David Hayes-Bautista; Hector Flores Journal: Int J Environ Res Public Health Date: 2020-07-06 Impact factor: 3.390
Authors: Marylyn Morris McEwen; Rogelio Andrès Elizondo-Pereo; Alice E Pasvogel; Irene Meester; Javier Vargas-Villarreal; Francisco González-Salazar Journal: Front Public Health Date: 2017-05-02