Abstract
This analysis assessed trends in measures of diabetes preventive care overall and by race/ethnicity and socioeconomic status in the North Carolina Behavioral Risk Factor Surveillance System (2000-2015). We found increasing trends in 5 measures: diabetes self-management education (DSME), daily blood glucose selfmonitoring, hemoglobin A1c tests, foot examinations, and flu shots. Non-Hispanic black and non-Hispanic white respondents showed increases in blood glucose self-monitoring, and a significant time-by-race interaction was observed for annual flu shots. Predisposing, enabling, and need factors were significantly associated with most measures. DSME was positively associated with 7 measures. Expanding access to health insurance and health care providers is key to improving diabetes management, with DSME being the gateway to optimal care.
| Original language | English |
|---|---|
| Article number | 170316 |
| Journal | Preventing chronic disease |
| Volume | 15 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1 Mar 2018 |
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health