183148 Use of Health Care Services for Cardiometabolic Risk Reduction among People with Diabetes Mellitus by Racial/Ethnic Groups in Pennsylvania

Wednesday, October 29, 2008: 9:00 AM

Longjian Liu, MD, PhD, MSc , Epidemiology and Biostatistics, Drexel University School of Public Health, Philadelphia, PA
Ana Nez, MD , Department of Medicine, and Drexel Women's Health Education Program and National Center of Excellence of Women's Health, Drexel University College of Medicine, Philadelphia, PA
Objective: In 2005, an estimated 8% of adults aged 18 or older had type 2 diabetes mellitus (DM) in Pennsylvania (PA). The present study examines the use of health care services for cardiometabolic risk reduction among diabetics by racial/ethnic groups.

Methods: Data from 12,679 participants within the 2005 PA Behavior Risk Factor Surveillance System (BRFSS) was analyzed. Statistical analysis techniques for the complex sample designs of the BRFSS were used.

Results: Among the participant population groups, the prevalence of DM was 13.1% in African American (AA); 9.5% in Non-Hispanic White (NHW); and 6.8% in Hispanic (H). Comorbidity with hypertension was found: 74% AA, 69% H, and 65% NHW. The prevalence of diabetics with either coronary heart disease or stroke ranged from 16% to 26%. Use of cardiometabolic risk reduction services for weight loss counseling per group in those with BMI≥30 kg/m2 was 48% AA, 38% NHW, and 35% H. Use of services for diabetes management of serum A1c measurement was 91% NHW, 88% AA, and 81% H. Immunization utilization for influenza was 51% NHW, 50% AA, and 21% H, and for pneumonia vaccination: 57% NHW, 45% AA, and 38% H. Using multivariable analysis, health care plan coverage, education and race/ethnic status were significant predictors for the use of health care services.

Conclusion: Cardiometabolic prevalence, risk and outcomes do not match current utilization rates of health promotion. Efforts to improve the use of health care service should focus on diabetes education program and expanding health care plan for reducing health disparities.

Learning Objectives:
By the end of the session, the participants will be able 1. To clarify the differences in the use of health care services among different race/ethnic groups. 2. To identify the relationship between the characteristics of people with diabetes and the utilization of health care services. 3. To specify the needs of health care services, including health policy, for the specific populations who are underserved.

Keywords: Diabetes, Health Care Access

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: APHA member
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.