Open AccessEthnic Disparity in Diabetes Self-Management Class Utilization, Behavioral Risk Factors Surveillance System 2012
Author(s) -
Yessica Diaz-Roman,
Lorena Martín,
Benjamin J. Becerra,
Dorothy D. Sears
Publication year - 2016
Publication title -
integrative diabetes and cardiovascular diseases
Language(s) - English
Resource type - Journals
ISSN - 2637-4587
DOI - 10.18314/idcd.v1i1.57
Subject(s) - behavioral risk factor surveillance system , ethnic group , medicine , diabetes mellitus , demography , social class , gerontology , environmental health , endocrinology , population , sociology , anthropology , political science , law
We examined diabetes self-management class utilization in a study sample of adult BRFSS 2012 participants with diabetes (n=34,665). This study assessed demographic variables that might be associated with class utilization, specifically sex, age, income, having health insurance (yes or no), and ethnicity (Hispanic and non-Hispanic) on diabetes self-management class utilization. Participation in diabetes self-management class was 53.8% overall. Male sex, age greater than 49 years, income <$25,000 per year, and lack of health insurance were each significantly associated with decreased class utilization. Hispanics (n=2,962) were 43% less likely to have taken a class compared to non-Hispanics (n=31,703) (OR 0.57, CI:0.53-0.62, p<0.001) with 41.2% of Hispanics and 55% of non-Hispanics reporting that they had taken a diabetes self-management class. This disparity remained after adjusting for sex, age, income, and health insurance (OR 0.60, CI:0.55-0.65, p<0.001). Efforts to enhance participation in diabetes self-management education are needed, particularly in Hispanic communities.