Chronic Illness最新文献_第6页

Translation, cultural adaptation, and psychometric validation of the Provider Attitudes toward Cardiac Rehabilitation and Referral (PACRR-C) Scale in Simplified Chinese. 简体中文 "提供者对心脏康复和转诊的态度 "量表（PACRR-C）的翻译、文化适应和心理测量验证。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-03-26 DOI: 10.1177/17423953241241764

Ding Yunmei, Cui Yan, Gu Jiayun, Sherry L Grace

{"title":"Translation, cultural adaptation, and psychometric validation of the Provider Attitudes toward Cardiac Rehabilitation and Referral (PACRR-C) Scale in Simplified Chinese.","authors":"Ding Yunmei, Cui Yan, Gu Jiayun, Sherry L Grace","doi":"10.1177/17423953241241764","DOIUrl":"10.1177/17423953241241764","url":null,"abstract":"Background: The Provider Attitudes toward CR and Referral (PACRR) scale was translated into Simplified Chinese and psychometric validation ensued.Methods: Brislin's Translation Model was applied, with two independent forward translations followed by back-translation. Experts assessed the face, content and cross-cultural validity of items, and item analysis followed. For validation, 227 physicians from hospitals in 14 Chinese provinces completed the PACRR-C. Structural validity was assessed through exploratory and confirmatory factor analysis. Internal and split-half reliability were assessed.Results: Some items were rephrased and one item was deleted. The content validity index for the total scale was 0.965. The correlation coefficients between the 18 items and the total scale ranged between 0.28 and 0.76. Consistent with the English version, four factors were extracted (Cronbach's alpha ranged from 0.671-0.959) through the factor analysis, accounting for 71.21% of the total variance. Split-half reliability was 0.945. The greatest factors impacting physician's CR attitudes were inconvenience of the referral process (3.93 ± 0.65/5); lack of standard referral forms (3.92 ± 0.66), perceiving referral as the responsibility of another clinician (3.89 ± 0.67), and need for support in completing the referral form (3.89 ± 0.64).Conclusions/significance: The reliability, as well as content, face, cross-cultural, and structural validity of the 18-item, 4-subscale PACRR-C, were supported.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"469-486"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus. 对医生沟通的体验和期望：与印度 2 型糖尿病患者的焦点小组讨论。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-09-14 DOI: 10.1177/17423953231200683

Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan

{"title":"Experiences and expectations of physician communication: A focus group discussion with Indian patients with type 2 diabetes mellitus.","authors":"Tejal Lathia, Mahati Chittem, Shweta Chawak, Praneeta Katdare, Shreya Jayaram, Chitra Selvan","doi":"10.1177/17423953231200683","DOIUrl":"10.1177/17423953231200683","url":null,"abstract":"Objectives: This pilot study aimed to: (a) understand the experiences of Indian patients with type 2 diabetes mellitus and their expectations of their physicians during a medical consultation, (b) serve as a preliminary study to inform the development of a larger project exploring and improving patients' communication experiences, and (c) assess whether the pilot study findings indicate the viability of using the Relationship: Establishment, Development, and Engagement model of communication as the conceptual framework for the larger project.Methods: Using convenience sampling, 11 patients participated in a focus group discussion. Conventional content analysis was used.Results: Two themes were generated: (a) A plethora of negative feelings: experiences of the physician's verbal and nonverbal communication styles, and (b) 'I know what I want': Expectations of communication by patients from their physician.Conclusions: The medical encounter with the physician elicited a range of negative experiences and clear expectations from the patients with type 2 diabetes mellitus. This pilot points to the need for (a) a mixed methods approach to comprehensively examine the communication needs of patients with type 2 diabetes mellitus from their physician, (b) understand physicians' communication practices, and (c) using these findings, culturally adapt and test the Relationship: Establishment, Development, and Engagement to improve physicians' communication skills in India.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"549-556"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10297687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are comorbidities associated with differences in healthcare charges among lung cancer patients in US hospitals? Focusing on variances by patient and socioeconomic factors. 合并症与美国医院肺癌患者的医疗费用差异有关吗？关注患者和社会经济因素的差异。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-03-27 DOI: 10.1177/17423953241241759

Jeong-Hui Park, Sun Jung Kim, Mar Medina, Tyler Prochnow, Kisuk Min, Jongwha Chang

{"title":"Are comorbidities associated with differences in healthcare charges among lung cancer patients in US hospitals? Focusing on variances by patient and socioeconomic factors.","authors":"Jeong-Hui Park, Sun Jung Kim, Mar Medina, Tyler Prochnow, Kisuk Min, Jongwha Chang","doi":"10.1177/17423953241241759","DOIUrl":"10.1177/17423953241241759","url":null,"abstract":"Objective: The clinical aspects of lung cancer patients are well-studied. However, healthcare charge patterns have yet to be explored through a large-scale representative population-based sample investigating differences by socioeconomic factors and comorbidities.Aim: To identify how comorbidities associated with healthcare charges among lung cancer patients.Methods: We examined the characteristics of the patient sample and the association between comorbidity status (diabetes, hypertension, or both) and healthcare charge. Multivariate survey linear regression models were used to estimate the association. We also investigated sub-group association through various patient and socioeconomic factors.Results: Of 212,745 lung cancer patients, 68.5% had diabetes and/or hypertension. Hospital charges were higher in the population with comorbidities. The results showed that lung cancer patients with comorbidities had 9.4%, 5.1%, and 12.0% (with diabetes, hypertension, and both, respectively) higher hospital charges than those without comorbidities. In sub-group analysis, Black patients also showed a similar trend across socioeconomic (i.e. household income and primary payer) and racial (i.e. White, Black, Hispanic, and Asian/Pacific Islander) factors.Discussion: Black patients may be significantly financially burdened because of the prevalence of comorbidities and low-income status. More work is required to ensure healthcare equality and promote access to care for the uninsured, low-income, and minority populations because comorbidities common in these populations can create more significant financial barriers.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"434-444"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I Felt Like I Mattered": Caring is a key ingredient of collaborative care for chronic illness. "我感觉我很重要"：关爱是慢性病合作护理的关键要素。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI: 10.1177/17423953241264862

Bridget A Graney, Jennifer Dickman Portz, David B Bekelman

{"title":"\"I Felt Like I Mattered\": Caring is a key ingredient of collaborative care for chronic illness.","authors":"Bridget A Graney, Jennifer Dickman Portz, David B Bekelman","doi":"10.1177/17423953241264862","DOIUrl":"10.1177/17423953241264862","url":null,"abstract":"Objectives: To identify perceptions and experiences related to caring science and collaborative care in intervention participants of the Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) study, a randomized, multi-site clinical trial for patients with chronic heart failure and reduced health status.Methods: Forty-five participants completed semi-structured, telephone interviews with a focus on intervention components, impact of the intervention on participants' lives, and recommendations for intervention change. Data were analyzed using an inductive content analysis approach focusing on the presence and frequency of text to identify patterns, categories, and themes across participants without an a priori code book. The validity of the identified categories was enhanced through triangulation.Results: Three themes were identified: (1) intervention providers' caring/helping attitude and caring/helping communication; (2) care team availability to respond to concerns or questions; and (3) help with understanding and navigating the healthcare system.Discussion: Patients highly value caring attitudes and communication, availability, and empowerment to understand and navigate healthcare systems. These attitudes and behaviors may be important mediators of the success of collaborative care programs. These are consistent with the theory of caring science, a framework that is relevant more broadly to patient-centered and team-based care models.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"383-394"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of medication adherence among elderly with high blood pressure living in deprived areas. 贫困地区高血压老人坚持服药的决定因素。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI: 10.1177/17423953241241803

Maryam Afshari, Akram Karimi-Shahanjarini, Lili Tapak, Somayeh Hashemi

{"title":"Determinants of medication adherence among elderly with high blood pressure living in deprived areas.","authors":"Maryam Afshari, Akram Karimi-Shahanjarini, Lili Tapak, Somayeh Hashemi","doi":"10.1177/17423953241241803","DOIUrl":"10.1177/17423953241241803","url":null,"abstract":"Introduction: The current study was conducted to determine the impact of health literacy and factors related to adherence to drug treatment, using the model proposed by the World Health Organization, in older adults with hypertension residing in informal settlements in Hamadan.Methods: This cross-sectional study was conducted on 405 patients in Hamadan city, located in the western part of Iran. Data were collected using an interviewer-administered questionnaire that included the 5-dimensional model proposed by the World Health Organization, Health Literacy for Iranian Adults, and Morisky Medication Adherence Scale-8. A two-stage sampling procedure was used to select patients from 14 comprehensive health service centers and health bases. The data were analyzed using SPSS v.24.Results: The study found that medication adherence was suboptimal in 63% of the participants. Additionally, 87.5% of patients had inadequate or insufficient health literacy. Factors related to medication adherence included age (odds ratio (OR) = 1.07), annual income (OR = 0.17), duration of hypertension (OR = 7.33), health literacy (OR = 1.03), self-reported health status (P < 0.05), and regular medication use (P < 0.008).Conclusion: The results of this study indicate that more than half of the older adults in the study had suboptimal medication adherence and insufficient health literacy. The study also found that various factors, such as socioeconomic status, disease and treatment-related factors, and patient-related factors, influence medication adherence among older adults.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"487-503"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How close are children with obesity to becoming an adult with chronic illnesses? 肥胖儿童离成为患有慢性病的成年人有多近？

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-11-08 DOI: 10.1177/17423953231213847

Cihad Dundar, Hatice Nilden Arslan, Özlem Terzi

{"title":"How close are children with obesity to becoming an adult with chronic illnesses?","authors":"Cihad Dundar, Hatice Nilden Arslan, Özlem Terzi","doi":"10.1177/17423953231213847","DOIUrl":"10.1177/17423953231213847","url":null,"abstract":"Objectives: Childhood obesity has become a global threat due to its serious negative consequences. We aimed to determine the patterns of metabolic syndrome and cardio-metabolic risk factors in Turkish children with obesity.Methods: We examined 169 schoolchildren with obesity in April and May 2019 in Samsun, Turkey. After clinical evaluation and anthropometric measurements, fasting blood samples were collected to measure total cholesterol, low and high-density lipoprotein, fasting blood glucose, triglycerides, and insulin levels.Results: The proportion of those who met the metabolic syndrome criteria in boys was 14.3%, but it was twice as high in girls (28.2%). The most prevalent component of cardio-metabolic risk factor was increased waist circumference (96.4%) followed by a high homeostasis model assessment insulin resistance index (74.6%) and high blood pressure (29.0%). While the average high-density lipoprotein was higher in boys than in girls, on the contrary, insulin, HbA1c, and homeostasis model assessment insulin resistance concentrations were higher in girls. The prevalence of dyslipidemia was also higher in girls (67.1%) than in boys (47.6%), as were all impaired metabolic syndrome components.Conclusions: One in five children with obesity was at risk of metabolic syndrome. For early intervention and prevention, children with obesity should be monitored in terms of cardio-metabolic risk factors, but obese girls are more prioritized.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"535-544"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severity, interference, qualities, and correlates of severe pain: Descriptive cross-sectional study on pain experience of cancer patients in Sri Lanka. 剧烈疼痛的严重程度、干扰、性质和相关因素：斯里兰卡癌症患者疼痛经历的横断面描述性研究。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-12-19 DOI: 10.1177/17423953231221845

N P Edirisinghe, P T R Makuloluwa, A A T D Amarasekara, C S E Goonewardena

{"title":"Severity, interference, qualities, and correlates of severe pain: Descriptive cross-sectional study on pain experience of cancer patients in Sri Lanka.","authors":"N P Edirisinghe, P T R Makuloluwa, A A T D Amarasekara, C S E Goonewardena","doi":"10.1177/17423953231221845","DOIUrl":"10.1177/17423953231221845","url":null,"abstract":"Objective: Pain is the most debilitating and subjective experience of cancer patients. This study examines the severity, interference, characteristics, and associations of severe pain in Sri Lankan cancer patients.Methods: A descriptive study was conducted in Sri Lanka on 384 patients at age 18 or older who had cancer pain for 3 months or more due to the initial lesion, secondaries, radiation, or chemotherapy. Patients with non-cancerous pain or brain metastases were excluded. Data was collected using a validated Sinhala version of the Short-Form Brief Pain Inventory and the Short-Form McGill Pain Questionnaire-2. Logistic regression was used to identify severe pain correlations.Results: The mean of the \"worst pain\" experience was 7.97, and 73.2% reported their \"worst pain\" as severe. The \"normal works\" (62.5%) and \"sleep\" (58.3%) were severely influenced by pain. \"Aching pain,\" was the most reported pain quality. A statistically significant association was shown between severe pain and male gender (adjusted odds ratio (AOR) = 1.723), being in marriage (AOR = 1.947), absence of family commitments (AOR = 1.8), and pain of 3 months or more duration (AOR = 1.76).Conclusion: The experiences of cancer pain vary, with the majority suffering from severe pain.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"515-526"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Which chronic diseases contribute the most to healthy life years lost in Algeria? 在阿尔及利亚，哪些慢性病造成的健康寿命损失最大？

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-07-23 DOI: 10.1177/17423953241264875

Meryem Chinoune, Farid Flici

{"title":"Which chronic diseases contribute the most to healthy life years lost in Algeria?","authors":"Meryem Chinoune, Farid Flici","doi":"10.1177/17423953241264875","DOIUrl":"10.1177/17423953241264875","url":null,"abstract":"Objectives: Chronic diseases contribute significantly to healthy years lost (HYLs). It is critical to investigate which are the most contributing diseases to enable enhancing health programs' effectiveness in improving health expectancy. This paper investigates disease-specific contributions to years lived with chronic diseases in Algeria and examines their recent evolution.Methods: We used morbidity data from the last three waves of the Multiple Indicator Cluster Surveys of 2006, 2012-13, and 2018-19. The studied chronic diseases included hypertension, cardiovascular diseases (CVDs), joint diseases, respiratory diseases, and diabetes. We calculated disease-specific contributions using the cause-deleted health expectancy approach. Then, we analyzed time changes and gender-based differences in contributions.Results: The leading cause of HYLs in women is hypertension, followed by diabetes, joint diseases, CVDs, and respiratory diseases. The same ranking applies to men, with joint diseases coming last. The time evolution of relative disease-specific contributions shows an increase in CVDs for women and diabetes for both genders, against a decrease for the other diseases.Discussion: To improve chronic disease-free life expectancy in Algeria, effective prevention programs must be implemented, with an emphasis on hypertension and diabetes. Further investigation into the risk factors affecting the prevalence and incidence of these diseases is also required.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"395-404"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of social and emotional support on serious psychological distress among people with functional disabilities and type 2 diabetes. 社会和情感支持对功能性残疾和 2 型糖尿病患者严重心理困扰的影响。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-05-15 DOI: 10.1177/17423953241253874

Ya-Ching Huang, Muna Bhattarai, Emma Cho, Hyunwoo Yoon

{"title":"The impact of social and emotional support on serious psychological distress among people with functional disabilities and type 2 diabetes.","authors":"Ya-Ching Huang, Muna Bhattarai, Emma Cho, Hyunwoo Yoon","doi":"10.1177/17423953241253874","DOIUrl":"10.1177/17423953241253874","url":null,"abstract":"Objectives: To examine the impact of social and emotional support on serious psychological distress (SPD) in individuals with type 2 diabetes (T2DM) and functional disabilities after controlling for socio-demographic factors and health status. Findings provide information for healthcare providers to enhance patients' psychological well-being.Methods: Data from 529 adults were obtained from the 2021 National Health Interview Survey, including those who had T2DM and also reported significant difficulty or inability to perform an activity in any of the following domains: seeing, hearing, walking or climbing stairs, communicating, remembering or concentrating, or practicing self-care. Descriptive analysis and a hierarchical regression model of SPD were used.Results: The mean age of participants was 67.88 years old, and the mean duration of diabetes diagnosis was 16.88 years. Notably, 12.5% of individuals reported SPD. A decreased likelihood of reporting SPD occurrence was associated with older age (odds ratio (OR) = 0.95), a longer duration of T2DM diagnosis (OR = 0.97), having at least a high school education (OR = 0.54), and receiving social and emotional support.Discussion: Social and emotional support likely mitigates psychological distress, suggesting that social and emotional support resources should be enhanced, especially among individuals who are younger and those more recently diagnosed with T2DM.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"413-423"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food insecurity and glycemic goals among Medicare beneficiaries with type 2 diabetes. 医疗保险受益人2型糖尿病患者的食物不安全和血糖目标。

IF 1.8 4区医学

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2023-11-29 DOI: 10.1177/17423953231217346

McKayla Massey, Morgan P Stewart, Jacqueline B LaManna, Chanhyun Park, Boon Peng Ng

{"title":"Food insecurity and glycemic goals among Medicare beneficiaries with type 2 diabetes.","authors":"McKayla Massey, Morgan P Stewart, Jacqueline B LaManna, Chanhyun Park, Boon Peng Ng","doi":"10.1177/17423953231217346","DOIUrl":"10.1177/17423953231217346","url":null,"abstract":"Objective: To examine the association between food insecurity and achieving glycemic goals among Medicare beneficiaries with type 2 diabetes.Methods: This study analyzed the nationally representative 2019 Medicare Current Beneficiary Survey of 1340 beneficiaries aged ≥65 years with type 2 diabetes. The binary dependent variable was whether beneficiaries' blood glucose was at target (A1C ≤ 7.5% or average fasting blood glucose of ≤140 mg/dL, all/most of the time). Food insecurity, a binary variable, was adapted based on the USDA's food security questions. A survey-weighted multivariable logistic model, adjusted for sociodemographics and comorbidities, was conducted to estimate predictive margins for comparing prevalence of having above-target blood glucose levels across groups.Results: Of study beneficiaries, 20.9% reported not achieving glycemic targets. The predictive marginal prevalence of having higher than target blood glucose levels was significantly greater in females over males (23.8% [95% confidence interval [CI], 20.1-27.4] vs 17.6% [14.3-20.9]); those with less than high school education over those with college education (31.0% [23.6-38.3] vs 18.6% [14.8-22.3]); and those reporting food insecurity over their counterparts (33.4% [24.5-42.3] vs 19.1% [16.6-21.7]).Conclusions: Sociodemographic disparities related to achieving blood glucose goals were observed. Screening for food insecurity and related interventions should be considered for at-risk beneficiaries with diabetes.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"527-534"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0