Diabetes Self-Management Behaviors, Health Care Access, and Health Perception in Mexico-US Border States

Marylyn M Mcewen, Alice E Pasvogel, Rogelio Elizondo-Pereo, Irene Meester, Javier Vargas-Villarreal, Francisco González-Salazar

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study was to describe diabetes self-management behaviors, diabetes health care access, and health perception for Mexican adults and Hispanics residing in the Mexico-US border region. Methods: This study used data from the Behavior Risk Factor Surveillance System (BRFSS) survey diabetes items (n = 26) to assess characteristics of Hispanics in 4 Arizona border counties (n = 216) and cross-sectional data from a modified BRFSS in a convenience sample of adults residing in Monterrey, Mexico (n = 351). Data were analyzed for descriptive statistics with SPSS. Results: The Mexico cohort was younger than the Arizona cohort (59.36 [11.5] vs 65.54 [11.1], respectively) and the mean length of time with type 2 diabetes was similar. Less than 10% (9.7%) of the Arizona cohort reported never monitoring blood glucose compared to 22.5% of the Mexico cohort. The mean (SD) number of times in the past 12 months the Mexico cohort saw their health care provider was 9.09 (6.8) vs 4.49 (8.3) for the Arizona cohort. Despite provider access, there were differences in self-management behaviors between the cohorts. Conclusions: Due to environmental and policy factors in the Mexico-US border region, there continues to be a gap in evidence-based practice and uptake of self-management behaviors for adults with diabetes. Resources such as the BRFSS and shared practice guidelines would bridge this gap.

Original languageEnglish (US)
JournalDiabetes Educator
DOIs
StatePublished - Jan 1 2019

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Self Care
Mexico
Behavioral Risk Factor Surveillance System
Delivery of Health Care
Health
Hispanic Americans
Environmental Policy
Evidence-Based Practice
Practice Guidelines
Health Personnel
Type 2 Diabetes Mellitus
Blood Glucose

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

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Diabetes Self-Management Behaviors, Health Care Access, and Health Perception in Mexico-US Border States. / Mcewen, Marylyn M; Pasvogel, Alice E; Elizondo-Pereo, Rogelio; Meester, Irene; Vargas-Villarreal, Javier; González-Salazar, Francisco.

In: Diabetes Educator, 01.01.2019.

Research output: Contribution to journalArticle

Mcewen, Marylyn M ; Pasvogel, Alice E ; Elizondo-Pereo, Rogelio ; Meester, Irene ; Vargas-Villarreal, Javier ; González-Salazar, Francisco. / Diabetes Self-Management Behaviors, Health Care Access, and Health Perception in Mexico-US Border States. In: Diabetes Educator. 2019.
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