Investing time in health: do socioeconomically disadvantaged patients spend more or less extra time on diabetes self-care?

Health Economics
Susan L EttnerTRIAD Study Group

Abstract

Research on self-care for chronic disease has not examined time requirements. Translating Research into Action for Diabetes (TRIAD), a multi-site study of managed care patients with diabetes, is among the first to assess self-care time. To examine associations between socioeconomic position and extra time patients spend on foot care, shopping/cooking, and exercise due to diabetes. Eleven thousand nine hundred and twenty-seven patient surveys from 2000 to 2001. Bayesian two-part models were used to estimate associations of self-reported extra time spent on self-care with race/ethnicity, education, and income, controlling for demographic and clinical characteristics. Proportions of patients spending no extra time on foot care, shopping/cooking, and exercise were, respectively, 37, 52, and 31%. Extra time spent on foot care and shopping/cooking was greater among racial/ethnic minorities, less-educated and lower-income patients. For example, African-Americans were about 10 percentage points more likely to report spending extra time on foot care than whites and extra time spent was about 3 min more per day. Extra time spent on self-care was greater for socioeconomically disadvantaged patients than for advantaged patients, perhaps be...Continue Reading

Associated Clinical Trials

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Citations

Apr 26, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Virpi Kuvaja-KöllnerRainer Rauramaa
Apr 1, 2014·Diabetes & Metabolism·S PilotH Bihan
Jul 7, 2010·Nursing & Health Sciences·Yin XuHong Liu
Apr 8, 2016·Cardiovascular Diabetology·Julia SzendroediUNKNOWN GDS Group
Oct 31, 2015·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Tanisha Jowsey
Jul 15, 2016·Journal of Diabetes and Its Complications·Nadja ChernyakAndrea Icks
Mar 10, 2017·Health Economics·Hannah ForbesMatt Sutton
Mar 7, 2013·Chronic Illness·Laurann YenMarjan Kljakovic
Dec 15, 2015·Chronic Illness·Hannah ForbesAnne Rogers
Nov 7, 2012·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Shital KambleShelby D Reed
Sep 30, 2018·Diabetic Medicine : a Journal of the British Diabetic Association·A IcksN Chernyak
Sep 11, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Meaghan E CoyleYsanne Chapman

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