Abstract
Abstract Objective. This study examines the relationship between receiving diabetes self-management education (DSME) and having higher levels of comprehensive diabetes clinical care, a summation of up to five clinical services recommended for individuals with type 2 diabetes and those who have had type 1 diabetes for ≥ 5 years. Design. Analysis of data from a population-based, cross-sectional study. Methods. Data for this study were from the 2007 Florida Behavioral Risk Factor Surveillance System (BRFSS), a statewide, random, cross-sectional survey of adults. A dichotomous comprehensive diabetes clinical care variable was constructed based on responses to questions from the BRFSS diabetes module, and a logistic regression model was fitted. Adjusted odds ratios (ORs) are reported. Results. Among Florida adults with diabetes, 51.5% had received DSME. About 51.4% of adults with diabetes who received DSME had a high level of comprehensive care compared to 31.8% of those who did not receive DSME. The OR for having a high level of comprehensive care was statistically significantly higher among adults who received DSME (OR = 2.48) compared to their counterparts who did not receive DSME. Other significant covariates were having health insurance (OR = 3.65), having graduated from high school (OR = 1.55), having a college education (OR = 2.70), being 45-64 years of age (OR = 2.31), and being ≥ 65 years of age (OR = 5.29). Conclusions. These data show that receiving DSME is positively associated with receiving higher levels of comprehensive diabetes clinical care.
Highlights
These data show that receiving diabetes self-management education (DSME) is positively associated with receiving higher levels of comprehensive diabetes clinical care
The morbidity and mortality associated with diabetes has increased during the past two decades, and the direct and indirect diabetes-related health care costs nationally were > $174 billion in 2007
90% of the respondents had some type of health insurance, 53.5% were married or cohabitating with a partner, and 50.6% had received some type of DSME
Summary
Data for this study were from the 2007 Florida Behavioral Risk Factor Surveillance System (BRFSS), a statewide, random, cross-sectional survey of adults.
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