197560 Health insurance and diabetes among multiracial men: The mediation effects of usual source of care

Tuesday, November 10, 2009: 9:00 AM

Julia Hastings, MSW, PhD , School of Social Welfare, University of California, Berkeley, Berkeley, CA
Jaclynn Hawkins, BA , School of Social Welfare, University of California, Berkeley, Berkeley, CA
Background: Frequently, the men located in lower SES categories are men of color, often omitted from research studies, and increasingly found to suffer from worse health conditions that are currently recognized as health disparities (Gaskin et al., 2007; Jack, Toston, Jack, & Sims, 2008; Porche, 2007). Health insurance and having a usual source of care is important in diabetes management for multi-ethnic men. Few studies focus on determining whether usual source of care mediates the association between health insurance and diabetes among men. Methods: Using data from the 2005 California Health Interview Survey, we analyzed responses from 17,472 men to examine the extent to which a usual source of health care mediates the relationship between health insurance and diabetes. Logistic regression analyses were performed and a Sobel-Goodman test for mediation was calculated for each racial group to determine the relative impact of usual source of care on the main study relationship. Results: Sobel-Goodman tests for mediation indicated the largest effects between Latino and White men. For African American and Asian men, usual source of care did not serve as a significant mediation factor between health insurance and diabetes. Discussion: Findings highlight that preventing the decline of men's health in general, and specifically among African American, Latino, and Asian American men should be an important priority. Social service workers need to advocate for better screening and treatment for diseases such as diabetes for multi-racial men in a variety of health settings.

Learning Objectives:
Session participants will be able to: 1) Describe the relationship between health insurance and diabetes for multiracial men in California; 2) Determine the degree to which usual source of care might mediate risk associated with diabetes management; 3) Discuss the differences between insured and uninsured men who are diagnoses with diabetes.

Keywords: Male Health, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an assistant professor in the School of Social Welfare at the University of California. I research diabetes issues and publish manuscripts in the health disparities area for African American and Caribbean Black populations.
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.