Blacks, Hispanics Less Likely To Manage Diabetes Properly
"Mechanismsfor Racial and Ethnic Disparities in Glycemic Control in Middle-agedand Older Americans in the Health and Retirement Study," Archives of Internal Medicine: For the study, Michele Heisler -- of the Veterans Affairs Ann Arbor Healthcare System and a professor at the University of Michigan Department of Internal Medicine-- and colleagues used a nationally representative sample of 1,901diabetics over age 55 who in 2003 responded to a survey by mail. Of therespondents, 1,233 completed valid at-home blood sugar testing kits.Researchers examined sociodemographic and clinical factors, access toand quality of diabetes care and self-management behaviors andattitudes. Blacks had worse medication adherence than whites, whileHispanics were more likely to experience diabetes-specific emotionaldistress. Researchers attributed the disparity partly to socioeconomic,clinical, health care, and self-management factors. In addition, thestudy said that one of the "most significant independent predictors ofglycemic control" was medication adherence (Heisler et al., Archives of Internal Medicine, 9/24).
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