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The provision of diabetes-monitoring exams to older latinos.
MedLine Citation:
PMID:  21948771     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To explore factors associated with the provision of diabetes-monitoring practices among older Latinos with type 2 diabetes.
METHOD: Data from 547 Latinos (≥55 years) were analyzed from the 2007 California Health Interview Survey. Multivariate logistic regression modeled the relationship between health status and sociodemographic factors and the receipt of semiannual HbA1c tests, annual foot exams, and annual retinal exams.
RESULTS: The majority of older Latino diabetics received foot exams (87%) and retinal exams (77%), but the provision of semiannual HbA1c tests (30%) was low. Higher English-language proficiency and health insurance coverage were associated with the provision of HbA1c tests and foot exams, but not retinal exams. Insulin therapy was positively associated with semiannual HbA1c testing, but negatively associated with foot exams.
DISCUSSION: There are considerable missed opportunities in the provision of diabetes monitoring for older Latinos, particularly those with limited English proficiency, less comprehensive insurance, and noninsulin therapy.
Authors:
Angelica P Herrera; Matthew Lee Smith; Marcia G Ory; Hector P Rodriguez; Ruth Warre; Wesley K Thompson; Annette Azcue; Jairo A Romero
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of aging and health     Volume:  23     ISSN:  1552-6887     ISO Abbreviation:  J Aging Health     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912686     Medline TA:  J Aging Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1075-100     Citation Subset:  T    
Affiliation:
1University of California, Los Angeles, School of Public Health, Los Angeles CA, USA.
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