Racial/ethnic differences in multiple self-care behaviors in adults with diabetes. J Gen Intern Med 2007 Jan;22(1):115-20
Date
03/14/2007Pubmed ID
17351850Pubmed Central ID
PMC1824783DOI
10.1007/s11606-007-0120-9Scopus ID
2-s2.0-34248579651 (requires institutional sign-in at Scopus site) 75 CitationsAbstract
OBJECTIVE: To assess racial/ethnic differences in multiple diabetes self-care behaviors.
DESIGN: Cross-sectional study.
PARTICIPANTS: 21,459 participants with diabetes in the 2003 Behavioral Risk Factor Surveillance survey.
MEASUREMENTS: The study assessed self-care behaviors including physical activity, fruits/vegetables consumption, glucose testing, and foot examination, as well as a composite of the 4 self-care behaviors across racial/ethnic groups. Multiple logistic regression was used to assess the independent association between race/ethnicity, the composite variable, and each self-care behavior controlling for covariates. STATA was used for statistical analysis.
RESULTS: Overall, 6% engaged in all 4 self-care behaviors, with a range of 5% in non-insulin users to 8% in insulin users. Blacks were less likely to exercise (OR 0.63, 95% CI 0.51, 0.79), while Hispanics and "others" were not significantly different from whites. Hispanics (OR 0.64, 95% CI 0.49, 0.82) and others (OR 0.69, 95% CI 0.49, 0.96) were less likely to do home glucose testing, while blacks were not significantly different from whites. Blacks (OR 1.42, 95% CI 1.12, 1.80) were more likely to do home foot examinations, while Hispanics and others were not significantly different from whites. Blacks (OR 0.56, 95% CI 0.36, 0.87) were less likely to engage in all 4 behaviors, while Hispanics and others were not significantly different from whites. There were no significant racial/ethnic differences in fruit and vegetable consumption.
CONCLUSIONS: Few patients engage in multiple self-care behaviors at recommended levels, and there are significant racial/ethnic differences in physical activity, dietary, and foot care behaviors among adults with diabetes.
Author List
Nwasuruba C, Khan M, Egede LEAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Blood Glucose Self-Monitoring
Cross-Sectional Studies
Diabetes Mellitus
Diabetic Foot
Diet
Exercise
Female
Fruit
Health Behavior
Health Education
Health Surveys
Humans
Male
Middle Aged
Self Care
Self-Examination
United States
Vegetables
