Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital

April K. Wilhelm, Debra J. Jacobson, Laura Guzman-Corrales, Chun Fan, Karen Baker, Jane W. Njeru, Mark L. Wieland, Deborah H. Boehm

Research output: Contribution to journalArticle

Abstract

Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p <0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalJournal of Community Health
DOIs
StateAccepted/In press - Feb 3 2016

Fingerprint

Safety-net Providers
country of origin
regional difference
Language
Blood Pressure
LDL Lipoproteins
language
Guidelines
chronic illness
immigrant
LDL Cholesterol
Population
Hemoglobins
Cohort Studies
Retrospective Studies
management
Outcome Assessment (Health Care)
Group

Keywords

  • Diabetes
  • Immigrant
  • Interpreter use
  • Limited English language proficiency

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Wilhelm, A. K., Jacobson, D. J., Guzman-Corrales, L., Fan, C., Baker, K., Njeru, J. W., ... Boehm, D. H. (Accepted/In press). Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital. Journal of Community Health, 1-7. https://doi.org/10.1007/s10900-016-0155-0

Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital. / Wilhelm, April K.; Jacobson, Debra J.; Guzman-Corrales, Laura; Fan, Chun; Baker, Karen; Njeru, Jane W.; Wieland, Mark L.; Boehm, Deborah H.

In: Journal of Community Health, 03.02.2016, p. 1-7.

Research output: Contribution to journalArticle

Wilhelm, April K. ; Jacobson, Debra J. ; Guzman-Corrales, Laura ; Fan, Chun ; Baker, Karen ; Njeru, Jane W. ; Wieland, Mark L. ; Boehm, Deborah H. / Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital. In: Journal of Community Health. 2016 ; pp. 1-7.
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