TY  - BOOK
AU  - Howard, Barbara V
TI  - Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes
SN  - 0898-2643
PY  - 2016///
KW  - *Diabetes Mellitus, Type 2
KW  - *Health Services Accessibility
KW  - *Indians, North American
KW  - Aged
KW  - Diabetes Mellitus, Type 2/dt [Drug Therapy]
KW  - Diabetes Mellitus, Type 2/th [Therapy]
KW  - Female
KW  - Health Services Accessibility/ec [Economics]
KW  - Health Services Accessibility/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Rural Population
KW  - United States
KW  - MedStar Health Research Institute
KW  - Journal Article
N2  - 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
UR  - https://dx.doi.org/10.1177/0898264316635562
ER  -