1. Identifying Risk Factors for Racial Disparities in Diabetes Outcomes
- Author
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Beth Waitzfelder, Robert B. Gerzoff, Ronald T. Ackermann, Andrew J. Karter, O. Kenrik Duru, Carol M. Mangione, Sonja Ross, Arleen F. Brown, William H. Herman, W. Neil Steers, and Joseph V. Selby
- Subjects
Male ,Glycated Hemoglobin A ,Multivariate analysis ,endocrine system diseases ,Blood Pressure ,Cardiovascular ,chemistry.chemical_compound ,Risk Factors ,Medicine ,Depression (differential diagnoses) ,African Americans ,Depression ,Diabetes ,Professional-Patient Relations ,Middle Aged ,Self Efficacy ,Cholesterol ,Mental Health ,Health Policy & Services ,Public Health and Health Services ,Female ,lipids (amino acids, peptides, and proteins) ,Patient Safety ,medicine.medical_specialty ,Article ,LDL ,Medication Adherence ,Clinical Research ,Internal medicine ,Diabetes mellitus ,Diabetes Mellitus ,Humans ,Healthcare Disparities ,Glycated Hemoglobin ,Self-efficacy ,business.industry ,Prevention ,Public Health, Environmental and Occupational Health ,Case-control study ,Cholesterol, LDL ,medicine.disease ,Black or African American ,Blood pressure ,chemistry ,Applied Economics ,Case-Control Studies ,Multivariate Analysis ,Physical therapy ,business ,Lipoprotein - Abstract
Background: Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. Objective: To examine whether several mutable risk factors were more strongly associated with poor control of multiple intermediate outcomes among blacks with diabetes than among similar whites. Design: Case-control study. Subjects: A total of 764 blacks and whites with diabetes receiving care within 8 managed care health plans. Measures: Cases were patients with poor control of at least 2 of 3 intermediate outcomes (HbA1c ≥ 8.0%, SBP ≥ 140 mmHg, LDL cholesterol ≥ 130 mg/dL) and controls were patients with good control of all 3 (HbA1c
- Published
- 2009