Ethnic Disparity in Diabetes Self-Management Class Utilization, Behavioral Risk Factors Surveillance System 2012
We examined diabetes self-management class utilization in a study sample of adult BRFSS 2012 participants with diabetes (n=34,665).Â This study assessed demographic variables that might be associated with class utilization, specifically sex, age, income, having health insurance (yes or no), and ethnicity (Hispanic and non-Hispanic) on diabetes self-management class utilization. Participation in diabetes self-management class was 53.8% overall. Male sex, age greater than 49 years, income <$25,000 per year, and lack of health insurance were each significantly associated with decreased class utilization.Â Hispanics (n=2,962) were 43% less likely to have taken a class compared to non-Hispanics (n=31,703) (OR 0.57, CI:0.53-0.62, p<0.001) with 41.2% of Hispanics and 55% of non-Hispanics reporting that they had taken a diabetes self-management class.Â This disparity remained after adjusting for sex, age, income, and health insurance (OR 0.60, CI:0.55-0.65, p<0.001). Efforts to enhance participation in diabetes self-management education are needed, particularly in Hispanic communities.
This work is licensed under a Creative Commons Attribution 4.0 International License.Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aÃ‚Â Creative Commons Attribution LicenseÃ‚Â that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÃ‚Â The Effect of Open Access).