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Open Access Publications from the University of California

Health behaviors and quality of care among Latinos with diabetes in managed care.

  • Author(s): Brown, Arleen F
  • Gerzoff, Robert B
  • Karter, Andrew J
  • Gregg, Edward
  • Safford, Monika
  • Waitzfelder, Beth
  • Beckles, Gloria LA
  • Brusuelas, Rebecca
  • Mangione, Carol M
  • TRIAD Study Group
  • et al.

OBJECTIVES:We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care. METHODS:Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking Latinos. RESULTS:Latinos had lower rates of self-monitoring of blood glucose and worse glycemic control than did Whites, higher rates of foot self-care and dilated-eye examinations, and comparable rates of other processes and intermediate outcomes of care. CONCLUSIONS:Although self-management and quality of care are comparable for Latinos and Whites with diabetes, important ethnic disparities persist in the managed care settings studied.

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