206827 Acculturation and diabetes self-management practices among Hispanics in U.S.-Mexico border communities

Monday, November 9, 2009: 5:30 PM

Suad F. Ghaddar, PhD , South Texas Border Health Disparities Center, University of Texas-Pan American, Edinburg, TX
Cynthia J. Brown, PhD , Office of Graduate Studies and Academic Centers, University of Texas-Pan American, Edinburg, TX
José A. Pagán, PhD , Department of Health Management and Policy, University of North Texas Health Science Center at Fort Worth, Fort Worth, TX
The purpose of this study is to explore the relationship between acculturation and diabetes self-management practices (healthy dietary intake and habits, participation in physical activity, self-monitoring of blood glucose, and foot self-inspection). The study utilizes data from participants in Alliance for a Healthy Border, a chronic disease prevention program targeting the high incidence of diabetes and heart disease in U.S.-Mexico border communities.

Surveys were administered to a sample of 982 Hispanic participants with diabetes. The Short Acculturation Scale for Hispanics, focusing on language use, was utilized to evaluate acculturation. To assess dietary habits, four measures were calculated (fruit and vegetable consumption, three dietary habits subscales reflecting fat/cholesterol intake, salt/sodium intake, and general habits). To measure physical activity, participants were classified as active or inactive. Participants also reported their daily blood glucose self-monitoring and foot self-inspection routines. After controlling for socio-demographic and health variables, regression results revealed that less acculturated individuals exhibited healthier habits in terms of fruit and vegetable consumption (p<.05) and sodium intake (p<.01) relative to those with low to moderate levels of acculturation. However, the former group was less likely to self-monitor blood glucose levels (OR: 0.44; 95% CI: 0.27, 0.74). No significant relationship was detected between acculturation and dietary habits reflecting fat/cholesterol intake, physical activity, and daily foot self-inspection. Having taken a diabetes self-management class positively influenced all aspects of self-management practices.

Results highlight the two-sided role of acculturation in the self-management of diabetes and the importance of culturally-appropriate prevention and education programs for individuals with diabetes.

Learning Objectives:
1. Evaluate the role of acculturation in diabetes self-management practices in U.S.-Mexico border communities. 2. Identify socio-demographic and diabetes-specific variables that influence diabetes self-management practices.

Keywords: Diabetes, Self-Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved with the evaluation component of Alliance for a Healthy Border since its inception and over its 3 year duration.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Pfizer, Inc. Evaluation Independent Contractor (contracted research and clinical trials)

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.