Beyond Race Disparities: Accounting for Socioeconomic Status in Diabetes Self-Care

Among patients with type 2 diabetes, racial disparities are prevalent across a variety of outcomes; however, inconsistent disparities in determinants of outcomes warrants exploring the impact of other, related factors. This study sought to examine whether disparities in health literacy, numeracy, se...

Full description

Saved in:
Bibliographic Details
Published in:American journal of preventive medicine 2019-07, Vol.57 (1), p.111-116
Main Authors: Nelson, Lyndsay A., Ackerman, Michael T., Greevy, Robert A., Wallston, Kenneth A., Mayberry, Lindsay S.
Format: Article
Language:English
Subjects:
Activities of daily living
Black or African American
Black people
Black People - statistics & numerical data
Clinical outcomes
Diabetes
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - epidemiology
Drugs
Eating behavior
Economic stress
Feeding Behavior - ethnology
Female
Glycated Hemoglobin - analysis
Health behavior
Health disparities
Health education
Health insurance
Health Literacy
Health status
Health Status Disparities
Hispanic people
Housing
Humans
Male
Middle Aged
Numeracy
Patients
Prevalence
Primary care
Propensity
Race
Racial inequality
Randomized Controlled Trials as Topic
Self Care
Socioeconomic Factors
Socioeconomic status
Type 2 diabetes mellitus
United States
Weighting
White People - statistics & numerical data
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Among patients with type 2 diabetes, racial disparities are prevalent across a variety of outcomes; however, inconsistent disparities in determinants of outcomes warrants exploring the impact of other, related factors. This study sought to examine whether disparities in health literacy, numeracy, self-care behaviors, and HbA1c persisted between non-Hispanic blacks and non-Hispanic whites after applying a robust adjustment for socioeconomic status (SES). From 2016 to 2018, adult patients with type 2 diabetes (N=444) were recruited from primary care clinics. Participants self-reported demographics; indicators of SES (i.e., income, education, health insurance, housing status, and financial strain); subjective health literacy and numeracy; and self-care behaviors. Participants also completed an HbA1c test. In 2018, differences were examined between non-Hispanic blacks and non-Hispanic whites in health literacy, numeracy, self-care, and HbA1c, first unadjusted and then adjusted using propensity score weighting. In unadjusted analyses, compared with non-Hispanic whites, non-Hispanic blacks had lower health literacy (p=0.039) and numeracy (p
ISSN:0749-3797
1873-2607
1873-2607
DOI:10.1016/j.amepre.2019.02.013