Minority Health Archive

Disparities in self-monitoring of blood glucose among low-income ethnic minority populations with diabetes, United States.

Levine, Deborah A and Allison, Jeroan J and Cherrington, Andrea and Richman, Joshua and Scarinci, Isabel C and Houston, Thomas K (2009) Disparities in self-monitoring of blood glucose among low-income ethnic minority populations with diabetes, United States. Ethnicity & disease, 19 (2). pp. 97-103. ISSN 1049-510X

Full text not available from this repository.

Abstract

BACKGROUND: In adults with insulin-treated diabetes, self-monitoring of blood glucose (SMBG) rates may be lower in minority or low-income populations, but the effect of income on racial/ethnic differences in SMBG is unknown. METHODS: We assessed whether racial/ethnic differences in SMBG vary by income among adults with insulin-treated diabetes by using Behavioral Risk Factor Surveillance System data from 2000 through 2004. We measured the prevalence of SMBG at least once per day among 16,630 adults aged > or = 19 years with insulin-treated diabetes. RESULTS: At incomes > or = $20,000, Hispanics and non-Hispanic Blacks reported similar but lower SMBG rates than did non-Hispanic Whites (78%, 77%, 85%; P < or = .01). However, among those with income < $20,000, Hispanics performed SMBG substantially less than did Blacks or Whites (65%, 79%, 85%; P < or = .01). Racial/ ethnic differences in SMBC persisted after adjustment for age, sex, education, health insurance, health status, survey period, and diabetes measures. Receipt of diabetes education varied significantly by race/ethnicity in the income < $20,000 group only (Hispanics 49%, Blacks 64%, Whites 62%; P < .001). Low-income Hispanics with limited English proficiency had lower SMBG and diabetes education rates than did those with English proficiency (61% vs 79% and 44% vs 58%, respectively). CONCLUSIONS: Among US adults with insulin-treated diabetes, Hispanics and Blacks performed daily SMBG less frequently than did Whites. Stratification by income revealed a disparity gradient in the income < $20,000 group: SMBG rates decreased from Whites to Blacks to Hispanics. Low-income Hispanics with limited English proficiency are at greater risk for reduced SMBG than are those proficient in English.


Export/Citation:EndNote | BibTeX | Dublin Core | ASCII (Chicago style) | HTML Citation | OpenURL | Reference Manager
Social Networking:

Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article.
Uncontrolled Keywords: Diabetes Mellitus, Self-care, Healthcare Disparities, Minority Health, Income
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Diabetes
Related URLs:
Depositing User: Users 141 not found.
Date Deposited: 31 May 2011 10:26
Last Modified: 31 May 2011 10:26
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/2535

Actions (login required)

View Item