Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community

Chang, Jean; Guy, Mignonne C.; Rosales, Cecilia; Zapien, Jill Guernsey de; Staten, Lisa K.; Fernandez, Maria L.; Carvajal, Scott C.

doi:10.3390/ijerph10083217

Cited by 16 publications

(26 citation statements)

References 35 publications

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“…Additionally, Mexican Americans residing in rural or unincorporated areas show higher rates of diabetes and associated comorbidities when compared to non-Hispanic Whites or Mexican Americans living in other U.S. regions (Anders et al, 2008; Balcazar et al, 2010; Koopman, Mainous, & Geesey, 2006). One study reported the diabetes prevalence among Hispanic residents in U.S.–Mexico border communities was over 20% (Chang et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

Kunz

Ingram

Piper

et al. 2017

Health Promotion Practice

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Diabetes disproportionately affects racial and ethnic minorities, rural, and impoverished populations. This case study describes the program components and key lessons learned from implementing Vivir Mejor! (Live Better!), a diabetes prevention and management program tailored for the rural, Mexican American population. The program used workforce innovations and multisector partnerships to engage and activate a rural, mostly Hispanic population. Community health worker (CHW) roles were designed to reach and support distinct populations. Promotoras focused exclusively on health education and patient navigators individually coached patients with chronic disease management issues for the high-risk patient population. To extend diabetes health education to the broader community in Santa Cruz County, promotoras trained lay leaders to become peer educators. Multisector partnerships allowed the program to offer health and social services around diabetes care. The partners also supported provider engagement through continuing education workshops and digital story screening to encourage referrals to the program. Multisector partnerships, including partnering with critical access hospitals, for diabetes management and prevention, as well as using different types of CHWs to implement programs that target high-and low-risk populations are innovative and valuable components of the Vivir Mejor! model.

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Section: Introductionmentioning

confidence: 99%

Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

Kunz

Ingram

Piper

et al. 2017

Health Promotion Practice

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“…Based on the majority of participants who self-reported, they exercised and recognizing that BMI is directly influenced by the balance between caloric intake and physical activity, these were not the expected BMI results. Of note is the proportion who self-reported they exercised is greater than other border studies ( 4 , 23 , 24 ). The MX–U.S.…”

Section: Discussionmentioning

confidence: 56%

A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study

McEwen

Elizondo-Pereo

Pasvogel

et al. 2017

Front. Public Health

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Type 2 diabetes mellitus (T2DM) is one of the leading causes of death from worldwide non-communicable diseases. The prevalence of diabetes in the Mexico (MX)–United States border states exceeds the national rate in both countries. The economic burden of diabetes, due to decreased productivity, disability, and medical costs, is staggering and increases significantly when T2DM-related complications occur. The purpose of this study was to use a modified behavioral risk factor surveillance system (BRFSS) to describe the T2DM self-management behaviors, diabetes care, and health perception of a convenience sample of adults with T2DM in Monterrey, MX. This cross-sectional study design, with convenience sampling, was conducted with a convenience sample (n = 351) of adults in the metropolitan area of Monterrey, MX who self-reported a diagnosis of T2DM. Potential participants were recruited from local supermarkets. Twenty-six diabetes and health-related items were selected from the BRFSS and administered in face-to-face interviews by trained data collectors. Data analysis was conducted using descriptive statistics. The mean age was 47 years, and the mean length of time with T2DM was 12 years. The majority was taking oral medication and 34% required insulin. Daily self-monitoring of feet was performed by 56% of the participants; however, only 8.8% engaged in blood glucose self-monitoring. The mean number of health-care provider visits was 9.09 per year, and glycated hemoglobin level (HbA1c) was assessed 2.6 times per year. Finally, only 40.5% of the participants recalled having a dilated eye exam. We conclude the modified BRFSS survey administered in a face-to-face interview format is an appropriate tool for assessing engagement in T2DM self-management behaviors, diabetes care, and health perception. Extension of the use of this survey in a more rigorous design with a larger scale survey is encouraged.

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“…The US-Mexico border has been considered an obesogenic region. 6 Factors that contribute to an obesogenic environment include lack of time, physical pain, depression, being overweight, unsafe neighborhoods, lack of facilities for exercise, 6,29-32 a lower socioeconomic class that experiences poor availability and barriers to accessing high quality reasonably priced foods, 6 and the increased availability of affordable and well-marketed processed high-caloric and high-fat foods. 33…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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.

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Investigating Social Ecological Contributors to Diabetes within Hispanics in an Underserved U.S.-Mexico Border Community

Cited by 16 publications

References 35 publications

Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

A Modified Behavior Risk Factor Surveillance System to Assess Diabetes Self-management Behaviors and Diabetes Care in Monterrey Mexico: A Cross-sectional Study

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

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