Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes.
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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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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