Academic literature on the topic 'Older Asian Americans – Medical care'

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Journal articles on the topic "Older Asian Americans – Medical care"

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Li, Chien-Ching, Alicia Matthews, and XinQi Dong. "Psychological Distress Among Older LGBT and Non-LGBT Asian Americans: The Influence of Minority Stress." Innovation in Aging 4, Supplement_1 (December 1, 2020): 624. http://dx.doi.org/10.1093/geroni/igaa057.2125.

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Abstract Emerging data from epidemiological studies have confirmed elevated prevalence rates for mental health conditions among the lesbian, gay, bisexual and transgender (LGBT) populations. An estimated 2.8% of Asian Americans identify as LGBT and 26% of Asian LGBT are 40 years or older. This study analyzed the California Health Interview Survey to examine differences in psychological distress between LGBT and non-LGBT older Asian Americans, and further evaluated the role of discrimination in medical care and intimate violence on psychological distress. Regression results showed older LGBT Asians had a higher psychological distress score compared to non-LGBT Asians. After adjusting for discrimination or violence, this association no longer existed. Experiencing discrimination in medical care and intimate violence were associated with higher levels of psychological stress. This study increases our knowledge of mental health among older Asian LGBT, enhancing our ability to design culturally-targeted and trauma-informed psychosocial interventions to improve outcomes in this population.
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Dong, XinQi, Melissa Simon, and Bei Wu. "Stress, Trauma, and Resilience Among U.S. Asian Older Adults: Findings From the Rutgers Asian RCMAR." Innovation in Aging 4, Supplement_1 (December 1, 2020): 623–24. http://dx.doi.org/10.1093/geroni/igaa057.2124.

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Abstract U.S. Asians are the fastest growing group of older adults in the nation, increasing by 68% from 2000-2018. However, research on the psychological wellbeing of this population is limited. Drawing on the research of Rutgers Asian RCMAR Scientists, this symposium will address the impacts of stress, trauma and resilience on the psychological wellbeing of diverse groups of U.S. Asian older adults. Session 1 will assess the prevalence of psychological distress among older LGBT and non-LGBT U.S. Asian older adults, and the role of discrimination in medical care and intimate violence on psychological distress. Session 2 will take a mixed-methods approach to examining caregiver burden and depressive symptoms of Chinese American spouses and adult-children who provided care for their spouse or parents with dementia. Session 3 will explore the risk and protective factors for the mental health of sexual minority U.S. Asian older adults using data from the Research Program on Genes, Environment and Health. Session 4 will identify different patterns of coping repertoires of older immigrants, based on a combination of individual, family, and community coping resources, and the optimal coping repertoire that is associated with the best psychological outcomes. In summation, this symposium describes the psychological wellbeing of diverse groups of U.S. Asian older adults, including sexual minority, caregiver and immigrant groups. The symposium addresses both risk factors and the protective factors and coping mechanisms that mediate and mitigate psychological wellbeing and aims to inform interventions to improve psychological wellbeing outcomes in U.S. Asian older adults.
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Enger, Shelley M., Soe Soe Thwin, Diana S. M. Buist, Terry Field, Floyd Frost, Ann M. Geiger, Timothy L. Lash, et al. "Breast Cancer Treatment of Older Women in Integrated Health Care Settings." Journal of Clinical Oncology 24, no. 27 (September 20, 2006): 4377–83. http://dx.doi.org/10.1200/jco.2006.06.3065.

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Purpose A substantial literature describes age-dependent variations in breast cancer treatment, showing that older women are less likely to receive standard treatment than younger women. We sought to identify patient and tumor characteristics associated with the nonreceipt of standard primary tumor and systemic adjuvant therapies. Patients and Methods We studied 1,859 women age 65 years or older with stage I and II breast cancer diagnosed between 1990 and 1994 who were cared for in six geographically dispersed community-based health care systems. We collected demographic, tumor, treatment, and comorbidity data from electronic data sources, including cancer registry, administrative, and clinical databases, and from subjects' medical records. Results Women 75 years of age or older and women with higher comorbidity indices were more likely to receive nonstandard primary tumor therapy, to not receive axillary lymph node dissection, and to not receive radiation therapy after breast-conserving surgery (BCS). Asian women were less likely to receive BCS, and African American women were less likely to be prescribed tamoxifen. Although nonreceipt of most therapies was associated with a lower baseline risk of recurrence, an important minority of high-risk women (16% to 30%) did not receive guideline therapies. Conclusion Age is an independent risk factor for nonreceipt of effective cancer therapies, even when comorbidity and risk of recurrence are taken into account. Information regarding treatment effectiveness in this age group and tools that allow physicians and patients to estimate the benefits versus the risks of therapies, taking into account age and comorbidity burden, are critically needed.
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Reibling, Ellen T., Brian Distelberg, Mindi Guptill, and Barbara Couden Hernandez. "Intimate Partner Violence Experienced by Physicians." Journal of Primary Care & Community Health 11 (January 2020): 215013272096507. http://dx.doi.org/10.1177/2150132720965077.

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Purpose: World Health Organization (WHO) defines intimate partner violence (IPV) as physical, sexual or psychological harm caused by an intimate partner or ex-partner. There are few studies describing interpersonal violence (IPV) among physicians. Our study describes IPV experienced by U.S. physicians. Methods: This was a multicenter survey administered to 4 physician groups in 2015 to 2016. In total 400 respondents returned survey results. Measures included current IPV, childhood abuse, mental health, professional role, and demographics. Results: IPV was reported by 24% of respondents. The most frequent abuses reported were: verbal (15%), physical (8%) followed by sexual abuse (4%) and stalking (4%). Logistic regression model found that IPV was more likely to be reported by older participants (aged 66–89), those who experienced childhood abuse, working less than full time, and had been diagnosed with a personality disorder. Women and Asian Americans reported slightly higher IPV rates. Conclusions: Our study has implications for both medical education and intervention development. Universal screening and education that addresses clinical implications when treating peers who experience IPV are needed. Workplace interventions that consider unique physician characteristics and experiences are needed, as well as programs that support sustained recovery. This is the first survey to our knowledge that confirms that physicians experience IPV at a rate consistent or higher than the national level. We developed a standardized instrument to assess IPV in male and female physicians at various career stages. We also identified significant predictors that should be included in IPV screening of potential physician victims.
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Boucher, Nathan, and Kimberly S. Johnson. "CULTURAL COMPETENCE TRAINING FOR HOSPICE STAFF: FINDINGS FROM A NATIONAL HOSPICE SURVEY." Innovation in Aging 3, Supplement_1 (November 2019): S6. http://dx.doi.org/10.1093/geroni/igz038.019.

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Abstract Compared to whites, racial/ethnic minorities are less likely to enroll in hospice and if they enroll, more likely to experience poor quality care. Building cultural competence (CC) among hospice staff is a strategy that may reduce these disparities. We conducted a national survey of hospices’ practices to promote CC. A total of 197 hospices participated; most were not-for-profit (80%) with an average daily census over 100 (53%); 73% offered staff cultural competence training (CCT). There were no differences in characteristics of hospices who offered CCT and those that did not. Of hospices offering CCT, 54% held it annually. Most trainings were one hour (60%); content was delivered via web (58%) and/or lecture (57%). While over 90% of staff (i.e., nurses, social workers, and chaplains) completed CCT, a smaller proportion of medical directors (63%), senior leaders (70%) and board members (23%) did so. Most common (>70%) topics were: cross-cultural communication, death and illness beliefs, and spirituality’s role, and healthcare disparities. The majority focused on African-Americans (83%), Hispanics (76%), and Asians (61%)—the most common U.S. minority groups. Almost 30% reported no assessment of effectiveness of CCT while 45% reported a quiz at the end. In this study, most hospices offered some CCT. CCT has been shown to improve healthcare providers’ knowledge and skills in caring for diverse patients and is associated with increased patient satisfaction. Future research should evaluate effectiveness of CCT in improving the ability of hospices to deliver high quality end-of-life care to diverse groups of older adults.
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Boucher, Nathan A., and Kimberly S. Johnson. "Cultivating Cultural Competence: How Are Hospice Staff Being Educated to Engage Racially and Ethnically Diverse Patients?" American Journal of Hospice and Palliative Medicine® 38, no. 2 (July 31, 2020): 169–74. http://dx.doi.org/10.1177/1049909120946729.

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Background: Compared to Whites, racial/ethnic minorities are less likely to enroll in hospice and if they enroll, more likely to experience poor quality care. Building cultural competence (CC) among hospice staff is a strategy that may reduce disparities. Objective: To describe the state of CC training across hospices. Design: National survey of hospices’ practices to promote CC. Results: A total of 197 hospices participated; most were not-for-profit (80%) with an average daily census less than 100 (47%); 73% offered staff cultural competence training (CCT). There were no differences in characteristics of hospices who offered CCT and those that did not. Of hospices offering CCT, 61% held it annually. Most trainings were 1 hour (60%); content was delivered via web (58%) and/or lecture (58%). While over 90% of staff (i.e., nurses, social workers, chaplains) completed CCT, a smaller proportion of medical directors (64%), senior leaders (71%) and board members (26%) did so. Most common topics were: cross-cultural communication, death/illness beliefs, spirituality’s role, and healthcare disparities. The majority focused on African-Americans (83%), Hispanics (76%), and Asians (62%)—the most common U.S. minority groups. Almost 30% reported no effectiveness assessment of CCT, while 51% reported a quiz at the end of training. Most hospices offered some CCT. Conclusions: CCT has been shown to improve healthcare providers’ knowledge and skills in caring for diverse patients and it is associated with increased patient satisfaction. Future research should evaluate effectiveness of CCT in improving the ability of hospices to deliver high quality end-of-life care to diverse groups of older adults.
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Jang, Y., H. Yoon, N. S. Park, and D. A. Chiriboga. "ORAL HEALTH AND DENTAL CARE IN OLDER ASIAN AMERICANS." Innovation in Aging 1, suppl_1 (June 30, 2017): 119. http://dx.doi.org/10.1093/geroni/igx004.490.

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Suresh, Suraj, Jinyu Zhang, Abdelwahab Ahmed, Mouhanna Abu Ghanimeh, Ahmed Elbanna, Randeep Kaur, Mahmoud Isseh, et al. "Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review." Endoscopy International Open 09, no. 06 (May 27, 2021): E867—E873. http://dx.doi.org/10.1055/a-1399-8398.

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Abstract Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence rate (ARR) and risk factors for recurrence following cold snare EMR of large polyps are lacking. The aim of this study was to define ARR for polyps ≥ 20 mm removed by cold snare EMR and to identify risk factors for recurrence. Patients and methods A retrospective chart review of colon cold snare EMR procedures performed between January 2015 and July 2019 at a tertiary care medical center was performed. During this period, 310 non-pedunculated polyps ≥ 20 mm were excised using cold snare EMR with follow-up surveillance colonoscopy. Patient demographic data as well as polyp characteristics at the time of index and surveillance colonoscopy were collected and analyzed. Results A total of 108 of 310 polyps (34.8 %) demonstrated adenoma recurrence at follow-up colonoscopy. Patients with a higher ARR were older (P = 0.008), had endoscopic clips placed at index procedure (P = 0.017), and were more likely to be Asian and African American (P = 0.02). ARR was higher in larger polyps (P < 0.001), tubulovillous adenomas (P < 0.001), and polyps with high-grade dysplasia (P = 0.003). Conclusions Although cold snare EMR remains a feasible alternative to hot snare polypectomy for resection of non-pedunculated polyps ≥ 20 mm, endoscopists must also carefully consider factors associated with increased ARR when utilizing this technique.
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Au, Clement. "Cultural factors in preventive care: Asian-Americans." Primary Care: Clinics in Office Practice 29, no. 3 (September 2002): 495–502. http://dx.doi.org/10.1016/s0095-4543(02)00011-8.

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Min, Jong, Siyon Rhee, Phu Phan, Jessica Rhee, and Thanh Tran. "Health of Older Asian Americans in California: Findings from the California Health Interview Survey." Aging 6, no. 2 (2008): 17–44. http://dx.doi.org/10.36650/nexus6.2_17-44_wonetal.

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Health studies on older Asian Americans based on national and statewide representative data are scarce. This study examined subgroup differences in demographic, socioeconomic and general health status, health conditions, and access to health care services among five groups of Asian Americans aged 60 or older (Chinese, Filipino, Japanese, Korean, and Vietnamese), using data from the 2001 California Health Interview Survey. Significant differences in demographic and socioeconomic characteristics, health status, chronic conditions, and coverage and use of health care services were found in the five groups, indicating the complexity, diversity, and heterogeneity of older Asian American populations. Practice and research implications are discussed.
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Dissertations / Theses on the topic "Older Asian Americans – Medical care"

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Huang, Jacob Chao-Lun. "Healthcare Utilization and Health Outcomes: US-born and Foreign-born Elderly Asian Americans." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804863/.

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In order to better understand variations of health behaviors between US-born and foreign-born elderly Asian Americans (65+) in the United States, the research aims to explore relationships among health outcomes, healthcare utilization, and sociodemographic characteristics. Data from the National Health Interview Survey 1998-2012 is used to construct structural equation models for the US born group and for the foreign born group. The results found that there is a reciprocal relationship between health outcomes and healthcare utilization in both groups. Use of healthcare services can positively affect health outcomes, while better health outcomes reduce the need for healthcare utilization. In addition, some sociodemographic characteristics, such as age, sex, and marital status have a direct effect on health outcomes, but some others, such as education, family size and combined family income, have an indirect effect on health outcomes via healthcare utilization. The region of residency has both direct and indirect effects on health outcomes. Regarding the effects of predictors on health outcomes, US-born elderly Asians usually receive more health advantages from using institutional health services than foreign-born elderly Asians. Practitioners, social gerontologists, and policy makers should be cautious about assuming that there is a positive impact of increased healthcare utilization on health outcomes in elderly Asian Americans.
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Clay, Olivio J. "Racial differences in health care utilization betwen older African American and Caucasian Medicare beneficiaries." Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/clay.pdf.

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Thesis (Ph. D.)--University of Alabama at Birmingham, 2007.
Title from PDF title page (viewed Sept. 21, 2009). Additional advisors: Richard M. Allman, Karlene K. Ball, Monika M. Safford, David E. Vance. Includes bibliographical references (p. 62-72).
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Anthony, Tomagene. "Barriers Limiting Access to Hospice Care for Elderly African Americans in Amarillo, Texas." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2855/.

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This study examines barriers limiting access to hospice care for elderly African Americans. Ethnic background plays a critical role in the development of attitudes, beliefs and expectations related to death and issues surrounding hospice care. The purpose of this study was to identify barriers that may limit access to hospice care for African Americans. A questionnaire was administered to 56 elderly African Americans in three religious settings and an African American senior citizens center. The questionnaire was designed to obtain information concerning African Americans' attitudes toward death and dying; religious beliefs; health beliefs; familiarity with hospice and prospective use of hospice. The results of the study indicate a number of barriers in access to hospice care for African Americans including: hospice knowledge barriers; education/outreach barriers; cultural knowledge barriers related to death/dying values; family/social support barriers; hospice organizational/provider barriers; health care organizational/provider barriers; and reimbursement barriers.
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Ting, Roy P. "Scriptural and cultural influences on second-generation Asian Americans concerning their elders implications for decision making in situations of "medical futility" /." Theological Research Exchange Network (TREN), 1999. http://www.tren.com.

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Kim, Jeanie Jinwee. "Nutrition education for English learning in the prison context." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2374.

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This project addresses the need for English as a second language nutrition instruction for patients in a forensic mental institution. It incorporates concepts of motivation, situated learning, prison education, English for specific purposes, and content-based instruction into a model which guides the design of a nutrition curriculum, consisting of five lesson plans about the Food Guide Pyramid.
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MacGregor, Cherylnn Sever Lowell E. "The mark of a good healer : examining health care behaviors in the Vietnamese community /." 2007. http://proquest.umi.com.www5.sph.uth.tmc.edu:2048/pqdweb?did=1436352851&sid=1&Fmt=2&clientId=92&RQT=309&VName=PQD.

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Tovar, Jennifer Jean 1970. "Resource incentives for return to Mexico for older Mexicans with diabetes in the United States." 2006. http://hdl.handle.net/2152/13067.

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Books on the topic "Older Asian Americans – Medical care"

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United States. Health Care Financing Administration. HORIZONS Project for Asian Americans and Pacific Islanders (HAAPI): Nationwide demographic report. Los Angeles, CA: Magna Systems, Incorporated, 2000.

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United States. Congress. House. Committee on Small Business. Health care issues affecting the Hispanic population at a time of health care reform. Washington: U.S. G.P.O., 1994.

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United States. Congress. Senate. Special Committee on Aging. Profiles in aging America: Meeting the health care needs of the nation's Black elderly : joint hearing before the Special Committee on Aging, and the Congressional Black Caucus Health Braintrust, United States Senate, One Hundred First Congress, second session, Friday, September 28, 1990. Washington: U.S. G.P.O., 1991.

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Snyder, Harry. Medicare/Medigap: The essential guide for older Americans and their families. Edited by Oshiro Carl and Consumer Reports Books. Mount Vernon, N.Y: Consumers Union, 1990.

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Congressional Hispanic Caucus (U.S.), ed. Hispanic health care: Today's shame, tomorrow's crisis : joint hearing before the Select Committee on Aging and the Congressional Hispanic Caucus, House of Representatives, One Hundred Second Congress, first session, September 19, 1991. Washington: U.S. G.P.O., 1992.

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A health care challenge: Reaching and serving the rural black elderly : workshop before the Special Committee on Aging, United States Senate, One Hundred Second Congress, first session, Helena, Arkansas, August 28, 1991. Washington: U.S. G.P.O., 1992.

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United States. Congress. House. Select Committee on Aging. Health care problems of the black elderly: A briefing by the Select Committee on Aging, House of Representatives, One Hundred First Congress, first session, June 24, 1989, Columbus, Ohio. Washington: U.S. G.P.O., 1990.

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United States. Congress. House. Select Committee on Aging. In-home services affecting older Americans: Memphis, TN : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, May 19, 1986, Memphis, TN. Washington: U.S. G.P.O., 1986.

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United States. Congress. House. Select Committee on Aging. In-home services affecting older Americans: Memphis, TN : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, May 19, 1986, Memphis, TN. Washington: U.S. G.P.O., 1986.

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Caucus, Congressional Black, ed. The challenging health care issues affecting older African Americans: Joint hearing before the Select Committee on Aging and the Congressional Black Caucus, House of Representatives, One Hundred Second Congress, first session, September 13, 1991. Washington: U.S. G.P.O., 1992.

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Book chapters on the topic "Older Asian Americans – Medical care"

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Control, Glycemic. "Predictors of Glycemic Control in a Multiethnic Public Clinic Population." In Bulletin of Medical and Clinical Research, 50–61. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2016.

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To assess correlates of glycemic control in a multiethnic federally qualified health center population. Deidentifed data from a federally qualified health center were examined for patients in diabetes treatment. New variables were created to assess illness burden. Bivariate testing was done to assess treatment compliance by language group. Multinomial regression models assessed three outcomes: uncontrolled, controlled and well controlled glycated hemoglobin (Hba1c). The conceptual framework for this study was Andersen’s Health Care Utilization Model. The sample was 1,581 patients. The average was 56. Eighty Five percent of the patients had well controlled or controlled Hba1c. Mandarin speakers were the most likely to have Hba1c controlled despite having the highest average age. Immigrant English speakers had worse glycemic control then their monolingual counterparts. All Asian subgroups had better glycemic control than Hispanics and African Americans. In the final model, the correlates of glycemic control were illness burden, time spent with a provider and health promoting activities. English speaking Hispanics and African Americans continue to have worse glycemic control regardless of having access to care.
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Control, Glycemic. "Predictors of Glycemic Control in a Multiethnic Public Clinic Population." In Bulletin of Medical and Clinical Research, 50–61. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2016.

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To assess correlates of glycemic control in a multiethnic federally qualified health center population. Deidentifed data from a federally qualified health center were examined for patients in diabetes treatment. New variables were created to assess illness burden. Bivariate testing was done to assess treatment compliance by language group. Multinomial regression models assessed three outcomes: uncontrolled, controlled and well controlled glycated hemoglobin (Hba1c). The conceptual framework for this study was Andersen’s Health Care Utilization Model. The sample was 1,581 patients. The average was 56. Eighty Five percent of the patients had well controlled or controlled Hba1c. Mandarin speakers were the most likely to have Hba1c controlled despite having the highest average age. Immigrant English speakers had worse glycemic control then their monolingual counterparts. All Asian subgroups had better glycemic control than Hispanics and African Americans. In the final model, the correlates of glycemic control were illness burden, time spent with a provider and health promoting activities. English speaking Hispanics and African Americans continue to have worse glycemic control regardless of having access to care.
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