Sociodemographic Factors Associated With Engagement in Diabetes Self-management Education Among People With Diabetes in the United States

Public Health Reports
Eric Adjei BoakyeLeslie Hinyard

Abstract

Research outside the United States shows that certain subgroups of patients (eg, those who are older, male, of low socioeconomic status, and uninsured) are less likely than others to report receiving diabetes self-management education (DSME); however, less is known about DSME uptake in the United States. We examined sociodemographic, patient, and behavioral characteristics associated with DSME in a nationally representative sample. We analyzed data from the 2011-2013 Behavioral Risk Factor Surveillance System for 84 179 adults who self-identified receiving a diagnosis of diabetes. We constructed weighted, multivariate logistic regression models to examine the associations between DSME and sociodemographic characteristics (age, sex, race/ethnicity, marital status, education, and annual household income), patient characteristics (body mass index, having a regular provider, health insurance status, health status, and insulin use), and self-management behaviors (home foot examination, home blood glucose testing, and physical activity). More than half (n = 45 557, 53.7% [weighted]) of respondents reported engaging in DSME. Compared with non-Hispanic white adults, non-Hispanic black adults were more likely to engage in DSME (adjusted...Continue Reading

References

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Citations

Mar 7, 2019·Public Health Reports·LaPrincess C BrewerChristi A Patten
Jun 3, 2021·International Journal of Environmental Research and Public Health·Cynthia F CorbettDennis G Dyck
Sep 16, 2021·Diabetes Technology & Therapeutics·Margaret F ZupaLinda Siminerio
Jan 14, 2022·The Science of Diabetes Self-management and Care·Isabel MendezAnn Albright

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Software Mentioned

SAS
DSME

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