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Sociodemographic Factors and Self‐Management Practices Related to Type 2 Diabetes Among Hispanics and Non‐Hispanic Whites in a Rural Setting
Author(s) -
Coronado Gloria D.,
Thompson Beti,
Tejeda Silvia,
Godina Ruby,
Chen Lu
Publication year - 2007
Publication title -
the journal of rural health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.439
H-Index - 57
eISSN - 1748-0361
pISSN - 0890-765X
DOI - 10.1111/j.1748-0361.2006.00067.x
Subject(s) - medicine , acculturation , diabetes mellitus , context (archaeology) , type 2 diabetes , gerontology , non hispanic whites , demography , diabetes management , disease , mexican americans , immigration , ethnic group , paleontology , archaeology , sociology , biology , anthropology , history , endocrinology
Context: Hispanics in the United States have a higher prevalence of non‐insulin‐dependent diabetes mellitus (type 2 diabetes) and experience more complications for the disease than non‐Hispanic whites. Differences in medical management or self‐management practices may, in part, explain the relative high risk for diabetes complications among Hispanics. Purpose: Using data from a community‐randomized intervention study on cancer prevention, we examined the medical management and self‐management practices of Hispanics and non‐Hispanic whites who have diabetes. Methods: Locally hired bilingual personnel conducted in‐person interviews of a random selection of 1,863 adults in 20 communities in the Yakima Valley of eastern Washington State. Findings: A total of 70 Hispanics (11% age‐adjusted prevalence) and 87 non‐Hispanic whites (7.3% age‐adjusted prevalence) reported having type 2 diabetes. Hispanics with a high level of acculturation were slightly more likely to have diabetes, compared to those with a low level of acculturation, though the association was nonsignificant. Hispanics were significantly less likely than non‐Hispanic whites to treat their diabetes with diet and exercise (36% vs 61.3%; P ≤ .001). Annual eye examinations were less commonly reported among Hispanics (48.9%) than among non‐Hispanic whites (72.7%). Conclusions: Our data indicate that Hispanics engage less frequently in self‐management practices to control diabetes than non‐Hispanic whites.