Racial/ethnic, regional, and rural/urban differences in receipt of diabetes education. Diabetes Educ 2013;39(3):327-34
Date
03/14/2013Pubmed ID
23482514DOI
10.1177/0145721713480002Scopus ID
2-s2.0-84877996012 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
PURPOSE: The objective of this study is to examine the differences in receipt of diabetes education according to risk factors that are associated with the disease, including race/ ethnicity, region, and rural/urban location.
METHODS: National data from the 2007 Medical Expenditure Panel Survey (MEPS) were analyzed to examine likelihood of receipt of diabetes education in terms of race, urban/rural location, and region.
RESULTS: Of 1747 adults with type 2 diabetes, 65.6% were white, 15% black, and 19.4% other. In addition, 49.3% were male, 50.6% female; 46.9% were under age 64; 39.8% had more than high school; 34.1% were from low-income households, 35.1% middle income, and 30.8% high income; 39.5% lived in the South while other regions were equally represented; 80.6% lived in rural areas; 63.7% did not receive any type 2 diabetes education. Patients in the South were least likely to receive education (67.5% did not). Logistic regression demonstrated that being black (odds ratio [OR] = 1.38, 95% confidence interval [CI], 1.03-1.84) and living in an urban area (OR = 1.40, 95% CI, 1.00-1.97) were associated with a higher likelihood of receiving diabetes education. By contrast, being 65 or older was associated with lower probability of receiving education (OR = 0.59, 95% CI, 0.40-0.87), as was lack of insurance (OR = 0.54, 95% CI, 0.33-0.88) CONCLUSIONS: Being black independently increased likelihood of receiving diabetes education, but living in rural areas, being uninsured, and living in the South reduced chances one would receive this helpful information. Therefore, further research should examine benefits of leveraging technology such as telemedicine to improve delivery of diabetes education to those living in rural areas.
Author List
Brown-Guion SY, Youngerman SM, Hernandez-Tejada MA, Dismuke CE, 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
AdultAged
Analysis of Variance
Diabetes Mellitus, Type 2
Female
Health Expenditures
Health Services Accessibility
Healthcare Disparities
Humans
Logistic Models
Male
Middle Aged
Patient Education as Topic
Rural Population
Self Care
Socioeconomic Factors
Surveys and Questionnaires
United States
Urban Population
