Are the U.S. territories lagging behind in diabetes care practices?

Ogilvie, Rachel P.; Patel, Shivani A.; Narayan, K.M. Venkat; Mehta, Neil K.

doi:10.1016/j.pcd.2018.04.005

Cited by 5 publications

(4 citation statements)

References 14 publications

(10 reference statements)

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“…The U.S. Virgin Islands population has higher rates of chronic diseases, such as diabetes and cardiovascular disease, than the national averages. 42,43 The increase in visits among this population may represent the prevalence of hypertension, diabetes, asthma, chronic obstructive pulmonary disease, and allergy cases, which were reported in previous studies to be aggravated by the storms, 6,14,26,27,44 and may also reflect visits among a population more likely engaged in home repairs and outdoor activities in the period between and after the storms. Previous studies show patients with respiratory complications, [17][18][19]24,26,27,30,45,46 and allergies, 47 were at an increased risk during hurricanes, and the risks were closely associated with environmental exposures.…”

Section: Ed Visitsmentioning

confidence: 78%

Powerless in the Virgin Islands: Emergency Department and Wound Care Clinic Utilization Following the 2017 Hurricanes Irma and Maria on St. Thomas, U.S. Virgin Islands

Christopher

Kitsantas

Farrell-Sealey

et al. 2021

Disaster med. public health prep.

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Objective: The main objective of this work was to characterize the prevalence of acute medical needs by examining emergency department (ED) and outpatient wound care clinic (WCC) visits before, during, and after the 2017 Hurricanes Irma and Maria, in St. Thomas, United States (U.S.) Virgin Islands. Methods: Descriptive statistics and logistic regression were used to assess associations between the occurrence of the storms and visits due to injuries and chronic conditions presented to the ED and WCC from September 1, 2016 to May 31, 2018. Results: ED visits increased and the rate of injury care was higher during the storms (12 patient visits per day) than before or after the storms (9 patient visits per day). WCC visits increased during (12%) and after the storms (45%), and were associated with patients 60 years and older. The odds of ED and WCC visits due to injury during the storms were significantly higher (odds ratio [OR]: 1.28, 95% confidence interval [CI]: 1.17, 1.40) than prior to the storms. The odds for visits due to injuries were 1.19 (95% CI: 1.12, 1.28) times higher after the storms. Conclusions: Increases occurred in ED and WCC visits for injury care during the storms and in WCC visits after the storms. Public health preparedness mandates understanding how major hurricanes impact the prevalence of acute medical needs, and the factors that influence decisions to seek medical care, in their wake.

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Section: Ed Visitsmentioning

confidence: 78%

Powerless in the Virgin Islands: Emergency Department and Wound Care Clinic Utilization Following the 2017 Hurricanes Irma and Maria on St. Thomas, U.S. Virgin Islands

Christopher

Kitsantas

Farrell-Sealey

et al. 2021

Disaster med. public health prep.

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“…Conversely, Hispanics/Latinos with diabetes mellitus are at increased risk of preventable acute and chronic complications ( 133 , 134 ) and hospital readmissions ( 135 , 136 ), and diabetes mellitus is one of the leading causes of death in these populations ( 137 – 139 ). Research on mechanisms underlying these inter-heritage differences, and on implementation of diabetes guidelines of care ( 140 , 141 ), could potentially generate more targeted interventions that effectively prevent diabetes and its complications. A significant number of liver disease studies focused on hepatitis C within the context of HIV/AIDS, and risk and long-term consequences of liver injury, which are highly relevant among some Hispanic/Latino communities ( 142 – 144 ).…”

Section: Discussionmentioning

confidence: 99%

Funding of Hispanic/Latino Health-Related Research by the National Institutes of Health: An Analysis of the Portfolio of Research Program Grants on Six Health Topic Areas

Avilés-Santa

Hsu

Lam

et al. 2020

Front. Public Health

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Avilés-Santa et al. NIH Funding Hispanic/Latino Health poses opportunities to evaluate knowledge gained and their clinical application, explore new research questions, or to update some methods or instruments. The findings of the present study suggest opportunities to expand research in understudied mechanisms of disease that could explain differences in prevalence of conditions like diabetes and cancer among different heritage groups. In addition, our findings suggest that the impact of interventions or policies designed to reduce health disparities, innovative multi-level interventions, implementation and dissemination studies, the role of health information technology on health outcomes, and the intersectionality of individual, sociocultural, geographic, and other factors on health outcomes, among others, are understudied approaches, which could potentially advance research in Hispanic/Latino health and contribute to the achievement of better health outcomes in this diverse population.

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“…Although there are international guidelines, it would be beneficial to establish clear and specific competencies for the different health professionals involved in diabetic management. As a minimum, intra-country heterogeneity should be reduced with their development (Garciaklepzig et al, 2018;Ogilvie, Patel, Venkat Narayan, & Mehta, 2018).…”

Section: Discussionmentioning

confidence: 99%

An educational intervention on foot self‐care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers

Guo

2019

Journal of Clinical Nursing

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Aims and objectives To assess the effectiveness of a 12‐week educational intervention on foot self‐care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers in China. Background Diabetes with the coexistence of diabetic retinopathy and foot problems complicating diabetes not only represents a personal disaster, but also becomes a serious burden to public health in China. A foot self‐care educational intervention is both cost‐effective and feasible even in a health resource‐limited setting, which should be developed and evaluated. Design Quasi‐experimental. Methods From July–September 2017, we enrolled 80 eligible hospitalised diabetic retinopathy patients and their primary caregivers by convenient sampling method in a first‐class comprehensive hospital in Nantong, in China. Before and after the educational intervention that is in accordance with the TREND statement (for details, see the “Supplementary File 1”), researchers and subjects filled out the self‐designed questionnaire on foot problems complicating diabetes and the Diabetic Foot Self‐care Behavior Scale, respectively. Results Scores of foot self‐care behaviour among the subjects significantly improved from 54.19 ± 8.01–75.85 ± 5.04. The number of patients with fasting blood glucoses <7.0 mmol/L improved from 43 (53.75%)–80 (100%). The results of incidence of foot problems complicating diabetes were not statistically significant. The complete execution of each item in Diabetic Foot Self‐care Behavior Scale of subjects was apparently higher. Conclusions This educational intervention can facilitate positive foot self‐care behaviours among the diabetic retinopathy patients with visual disability and their primary caregivers in China. Relevance to clinical practice. This study adds to the evidence of the effectiveness of an educational intervention to foster positive foot self‐care behaviours. This educational intervention appears to be prospective in promoting diabetic home‐based self‐management in China, and the delivery method of the intervention may be applied to other chronic diseases.

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Are the U.S. territories lagging behind in diabetes care practices?

Abstract: U.S. territories lag behind U.S. states in diabetes care practices. Policies aimed at improving diabetes care practices are needed in the U.S. territories to achieve Healthy People 2020 goals and attain parity with U.S. states.

Cited by 5 publications

References 14 publications

Powerless in the Virgin Islands: Emergency Department and Wound Care Clinic Utilization Following the 2017 Hurricanes Irma and Maria on St. Thomas, U.S. Virgin Islands

Powerless in the Virgin Islands: Emergency Department and Wound Care Clinic Utilization Following the 2017 Hurricanes Irma and Maria on St. Thomas, U.S. Virgin Islands

Funding of Hispanic/Latino Health-Related Research by the National Institutes of Health: An Analysis of the Portfolio of Research Program Grants on Six Health Topic Areas

An educational intervention on foot self‐care behaviour among diabetic retinopathy patients with visual disability and their primary caregivers

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