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336116
Race, Socioeconomic Status, and Rurality Influences on Type 2 Diabetes Management Among North Carolina Adults


Tuesday, November 3, 2015

Crystal Piper, MPH, MHA, PhD, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Shilpa Chalakalal, MSPH, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Neethu Sebastian, MPH, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Tatreka Polite-Middleton, MSPH, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Shweta Shah, MHA, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
Fred Martin, MBA, Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC
  
Background: Type 2 diabetes is a chronic disease that causes long term complications if not managed properly. According to the National Standards for Diabetes Self-Management Education, education is an intricate component to improving patient outcomes. This study examined the association between race, socioeconomic status (SES) and geographic location and its effects on Type 2 diabetes education among North Carolina adults.

Methods: Using a cross-sectional study of the 2008 Behavioral Risk Factor Surveillance System, we examined the association between race, SES, and rurality and its effect on Type 2 diabetes education among adults in North Carolina. The relationship between Type 2 diabetes education and the covariates was assessed using univariate, bivariate, and multivariate analysis. Unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were determined using survey logistic regression analyses.

Results: The majority of the participants (63%) did not have good diabetes education.  Non-Whites had higher odds than Whites of good diabetes education (OR=1.56, 95%CI: 1.19, 2.03).  Individuals in rural North Carolina had lower odds of having good diabetes education than their urban counterparts, but the results remained insignificant (OR= 0.88, CI: 0.67, 1.15).  Individuals with a low SES had poorer diabetes education than individuals identified as being high SES, but the results were insignificant (OR=0.81, CI: 0.60, 1.09).

Conclusions: The results of this study could be used for policy recommendations for health organizations. Healthcare practices guidelines should make diabetes education mandatory for individuals diagnosed with diabetes. Future studies with a more accurate measurement of diabetes education are needed

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Assess the relationship between race, socioeconomic status, and rural/urban location and its effects on Type 2 diabetes education among North Carolina adults. List the social determinants of health that may impact Type 2 diabetes education Discuss the role of evidence-based public health interventions and policy recommendations that focus on diabetes education for individuals diagnosed with diabetes

Keyword(s): Chronic Disease Management and Care, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a doctoral student in Health Services Research with a focus on chronic diseases. I have worked on multiple projects in chronic disease behavioral epidemiology in the elderly in Diabetes, Lung Cancer, Arthritis, and Pancreatic Cancer. In addition, I have a Bachelors degree in Medicine from India and a Master's in Health Administration from Houston, TX. My educational training and research experience makes me qualified to be an abstract author for this study.
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.

Back to: 4001.0: Chronic Illness Roundtable