Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes.

MedStar author(s):
Citation: Journal of Aging & Health. 29(2):206-221, 2017 MarPMID: 26944805Institution: MedStar Health Research InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Diabetes Mellitus, Type 2 | *Health Services Accessibility | *Indians, North American | Aged | Diabetes Mellitus, Type 2/dt [Drug Therapy] | Diabetes Mellitus, Type 2/th [Therapy] | Female | Health Services Accessibility/ec [Economics] | Health Services Accessibility/sn [Statistics & Numerical Data] | Humans | Male | Middle Aged | Rural Population | United StatesYear: 2016ISSN:
  • 0898-2643
Name of journal: Journal of aging and healthAbstract: Copyright (c) The Author(s) 2016.DISCUSSION: Access-related barriers were not associated with worse diabetes management in multivariate analyses. The study concludes with implications for clinicians working with AI populations to enhance opportunities for diabetes management.METHOD: We examined the relationship between access to care and diabetes management, as measured by HbA<sub>1c</sub>, using 1998-1999 data from the Strong Heart Family Study. A series of bivariate and multivariate linear models examined the relationships between nine access-related variables and HbA<sub>1c</sub> levels.OBJECTIVE: To examine the relationship between health care access and diabetes management among a geographically diverse sample of American Indians (AIs) aged 50 and older with type 2 diabetes.RESULTS: In bivariate analyses, out-of-pocket costs were associated with higher HbA<sub>1c</sub> levels. No other access-related characteristics were significantly associated with diabetes management in bivariate or in multivariate models.All authors: Howard BV, Manson SM, Nicklett EJ, Omidpanah A, Whitener RFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-05-24
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Journal Article MedStar Authors Catalog Article 26944805 Available 26944805

Copyright (c) The Author(s) 2016.

DISCUSSION: Access-related barriers were not associated with worse diabetes management in multivariate analyses. The study concludes with implications for clinicians working with AI populations to enhance opportunities for diabetes management.

METHOD: We examined the relationship between access to care and diabetes management, as measured by HbA<sub>1c</sub>, using 1998-1999 data from the Strong Heart Family Study. A series of bivariate and multivariate linear models examined the relationships between nine access-related variables and HbA<sub>1c</sub> levels.

OBJECTIVE: To examine the relationship between health care access and diabetes management among a geographically diverse sample of American Indians (AIs) aged 50 and older with type 2 diabetes.

RESULTS: In bivariate analyses, out-of-pocket costs were associated with higher HbA<sub>1c</sub> levels. No other access-related characteristics were significantly associated with diabetes management in bivariate or in multivariate models.

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