Preferences, beliefs, and self-management of diabetes.

TitlePreferences, beliefs, and self-management of diabetes.
Publication TypeJournal Article
Year of Publication2009
AuthorsSloan, FA, Padrón, NA, Platt, AC
JournalHealth Serv Res
Volume44
Issue3
Pagination1068-87
Date Published2009 Jun
ISSN Number1475-6773
Call Numbernewpubs20090908_SloanDiabetes.pdf
KeywordsAfrican Americans, Choice Behavior, Cross-Sectional Studies, Diabetes Mellitus, Female, Glycated Hemoglobin A, Health Knowledge, Attitudes, Practice, Health Status, Hispanic Americans, Humans, Internal-External Control, Logistic Models, Longevity, Longitudinal Studies, Male, Patient Compliance, Risk Assessment, Self Care, Self-Assessment, Socioeconomic factors, Surveys and Questionnaires
Abstract

OBJECTIVE: To assess relationships between self-assessed control over life events, subjective beliefs about longevity, time and risk preference, and other factors on use of recommended care for diabetes mellitus (DM), self-assessed control of diabetes, general health, and laboratory measures of HbA1c levels.

DATA SOURCES: Health and Retirement Study (HRS) and 2003 HRS Diabetes Study (HRS-DS).

STUDY DESIGN: We used logit and ordered logit analyses to assess use of recommended care, and subjective and objective measures of health outcomes.

DATA COLLECTION: Secondary analysis of HRS and HRS-DS data.

PRINCIPAL FINDINGS: Individuals with higher self-assessed control over life events and higher subjective probabilities of living 10 years engaged in more recommended DM care practices and had better self-assessed DM control and general health. However, these beliefs did not influence HbA1c levels. More highly educated and cognitively able persons were more likely to follow care recommendations. There were differences by race/ethnicity in health outcomes, but not in health investment among Hispanics.

CONCLUSIONS: Individuals' beliefs about control over life events and longevity influenced health investment and subjective health outcomes, although these beliefs did not translate into differences in HbA1c levels. Hispanics may realize lower returns on health investments, at least for diabetes care.

Notes

PMID: 19674433

DOI10.1111/j.1475-6773.2009.00957.x
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/19674433?dopt=Abstract

Endnote Keywords

Diabetes Mellitus/Subjective phenomena/Health

Endnote ID

20420

Alternate JournalHealth Serv Res
Citation Key7336
PubMed ID19674433
PubMed Central IDPMC2699922
Grant ListR37 AG017473 / AG / NIA NIH HHS / United States
R37 AG017473-05A1 / AG / NIA NIH HHS / United States
2R3737-AG-17473-05A1 / AG / NIA NIH HHS / United States