Brown Kyrah K, Kindratt Tiffany B, Boateng Godfred O, Brannon Grace Ellen
Department of Kinesiology, University of Texas at Arlington, 500 W. Nedderman Drive, Arlington, TX, 76019, USA.
Department of Communication, University of Texas at Arlington, 700 W. Greek Row Drive, Arlington, TX, 76019, USA.
J Racial Ethn Health Disparities. 2022 Jun;9(3):967-978. doi: 10.1007/s40615-021-01036-1. Epub 2021 Apr 7.
Patient perceptions of healthcare ratings, diabetes self-efficacy, and diabetes management play a role in diabetes-related outcomes, particularly among women of childbearing age. Guided by a modified Interaction Model of Client Health Behavior framework, the objective was to compare differences in perceptions of health care ratings, diabetes self-efficacy, and diabetes management among non-Hispanic Black, Hispanic, and non-Hispanic White women of childbearing age.
The sample comprised 7 years (2012-2018) of Medical Expenditure Panel Survey data. The sample was limited to women of childbearing age (18-45 years) who have ever been told they had diabetes (n = 691; weighted n = 932,426). Dependent variables were health care rating, diabetes self-efficacy, and diabetes care management. The key independent variable was race/ethnicity (non-Hispanic Black, Hispanic, non-Hispanic White). We adjusted for sociodemographic characteristics and perceived health status using multiple linear and multivariable logistic regressions.
Non-Hispanic Black women (41.6%) self-reported their health status as fair or poor (44.9%) compared to non-Hispanic White (33.3%) and Hispanic (37.6%). In adjusted models, non-Hispanic Black women had 46% lower odds (95% CI = 0.31, 0.94) of reporting high health care ratings compared to non-Hispanic White women. Non-Hispanic Black women had 43% lower odds (95% CI = 0.35, 0.95) and Hispanic women had 47% lower odds (95% CI = 0.34, 0.80) of reporting higher levels of diabetes care management than non-Hispanic White women.
This study provides important information regarding diabetes health care ratings, self-efficacy, and self-management behaviors. Because of the increasing prevalence of diabetes among women of childbearing age, it is important to improve health care particularly for racial/ethnic minority women with diabetes.
患者对医疗保健评级、糖尿病自我效能感和糖尿病管理的认知在糖尿病相关结局中发挥作用，在育龄女性中尤为如此。在修正的客户健康行为互动模型框架的指导下，目的是比较非西班牙裔黑人、西班牙裔和非西班牙裔白人育龄女性在医疗保健评级、糖尿病自我效能感和糖尿病管理认知方面的差异。
样本包括7年（2012 - 2018年）的医疗支出面板调查数据。样本限于曾被告知患有糖尿病的育龄女性（18 - 45岁）（n = 691；加权n = 932,426）。因变量为医疗保健评级、糖尿病自我效能感和糖尿病护理管理。关键自变量为种族/族裔（非西班牙裔黑人、西班牙裔、非西班牙裔白人）。我们使用多元线性回归和多变量逻辑回归对社会人口学特征和感知健康状况进行了调整。
与非西班牙裔白人（33.3%）和西班牙裔（37.6%）相比，非西班牙裔黑人女性（41.6%）自我报告其健康状况为一般或较差（44.9%）。在调整后的模型中，与非西班牙裔白人女性相比，非西班牙裔黑人女性报告高医疗保健评级的几率低46%（95%置信区间 = 0.31, 0.94）。与非西班牙裔白人女性相比，非西班牙裔黑人女性报告更高水平糖尿病护理管理的几率低43%（95%置信区间 = 0.35, 0.95），西班牙裔女性的这一几率低47%（95%置信区间 = 0.34, 0.80）。
本研究提供了有关糖尿病医疗保健评级、自我效能感和自我管理行为的重要信息。由于育龄女性中糖尿病患病率不断上升，改善医疗保健，尤其是针对患有糖尿病的种族/族裔少数群体女性，非常重要。
Zotero 插件