Skip to main content
Erschienen in: Journal of Immigrant and Minority Health 6/2012

01.12.2012 | Original Paper

Personal and Cultural Influences on Diabetes Self-Care Behaviors Among Older Hispanics Born in the U.S. and Mexico

verfasst von: Nelda Mier, Matthew Lee Smith, Genny Carrillo-Zuniga, Xiaohui Wang, Norma Garza, Marcia G. Ory

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 6/2012

Einloggen, um Zugang zu erhalten

Abstract

Older Hispanics are disproportionately affected by diabetes, but little is known about predictors of diabetes self-care among this group. This study compared the magnitude of three self-care behaviors (diet, physical activity (PA), and glucose monitoring) among older Hispanics with type 2 diabetes born in the United States (n = 59) to those born in Mexico (n = 179), and investigated the influence of personal and health indicators on each self-care behavior. Findings were based on data drawn from convenience sample data collected with a questionnaire. Self-care behaviors were moderately practiced (39.5–45.8 %) with no significant differences by nativity. Mexico-born seniors were less linguistically acculturated (P < 0.001). Being female (OR = 2.41) and PA levels (OR = 2.62) were significantly associated with diet. Being female (OR = 3.24), more educated (OR = 3.73), U.S.-born (OR = 2.84), and receiving diabetes education (OR = 3.67) were associated with PA. Diabetes education (OR = 2.41) was associated with glucose monitoring. Although acculturation influenced only PA and no other behaviors, personal and cultural factors require further investigation to design diabetes management strategies for Hispanic seniors at the border region.
Literatur
2.
Zurück zum Zitat Angel JL, et al. Setting the stage: Hispanic health and aging in the Americas. In: Angel JL, Whitfield KE, editors. The health of aging Hispanics. The Mexican-origin population. New York: Springer; 2007. Angel JL, et al. Setting the stage: Hispanic health and aging in the Americas. In: Angel JL, Whitfield KE, editors. The health of aging Hispanics. The Mexican-origin population. New York: Springer; 2007.
3.
Zurück zum Zitat Moy E. Hispanic Elders Project. Hispanic elders community chartbook for Houston, San Antonio, and the Lower Rio Grande Valley I & II, national & state analyses. 2007. Moy E. Hispanic Elders Project. Hispanic elders community chartbook for Houston, San Antonio, and the Lower Rio Grande Valley I & II, national & state analyses. 2007.
5.
Zurück zum Zitat Beard HA, et al. Trends in diabetes prevalence and diabetes-related complications in older Mexican Americans from 1993–1994 to 2004–2005. Diabetes Care. 2009;32(12):2212–7.PubMedCrossRef Beard HA, et al. Trends in diabetes prevalence and diabetes-related complications in older Mexican Americans from 1993–1994 to 2004–2005. Diabetes Care. 2009;32(12):2212–7.PubMedCrossRef
6.
Zurück zum Zitat Borrell LN, et al. Self-reported diabetes in Hispanic subgroup, non-Hispanic black, and non-Hispanic white populations: National Health Interview Survey, 1997-2005. Public Health Rep. 2009;124(5):702–10.PubMed Borrell LN, et al. Self-reported diabetes in Hispanic subgroup, non-Hispanic black, and non-Hispanic white populations: National Health Interview Survey, 1997-2005. Public Health Rep. 2009;124(5):702–10.PubMed
7.
Zurück zum Zitat Markides KS, et al. Census disability rates among older people by race/ethnicity and type of Hispanic origin. In: Angel JL, Whitfield KE, editors. The health of aging Hispanics. The Mexican-origin population. New York: Springer; 2007. Markides KS, et al. Census disability rates among older people by race/ethnicity and type of Hispanic origin. In: Angel JL, Whitfield KE, editors. The health of aging Hispanics. The Mexican-origin population. New York: Springer; 2007.
8.
Zurück zum Zitat Surgeon General’s perspectives. Self-management programs: one way to promote healthy aging. Public Health Rep. 2009;124:478–80. Surgeon General’s perspectives. Self-management programs: one way to promote healthy aging. Public Health Rep. 2009;124:478–80.
9.
Zurück zum Zitat DPP Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25(12):2165–71.CrossRef DPP Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25(12):2165–71.CrossRef
10.
Zurück zum Zitat Norris SL, et al. The effectiveness of disease and case management for people with diabetes. A systematic review. Am J Prev Med. 2002;22(4 Suppl):15–38.PubMedCrossRef Norris SL, et al. The effectiveness of disease and case management for people with diabetes. A systematic review. Am J Prev Med. 2002;22(4 Suppl):15–38.PubMedCrossRef
11.
Zurück zum Zitat Rhee MK, et al. Patient adherence improves glycemic control. Diabetes Educ. 2005;31(2):240–50.PubMedCrossRef Rhee MK, et al. Patient adherence improves glycemic control. Diabetes Educ. 2005;31(2):240–50.PubMedCrossRef
12.
Zurück zum Zitat Schwedes U, et al. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes Care. 2002;25(11):1928–32.PubMedCrossRef Schwedes U, et al. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes Care. 2002;25(11):1928–32.PubMedCrossRef
13.
Zurück zum Zitat Nwasuruba C, et al. Racial/ethnic differences in multiple self-care behaviors in adults with diabetes. J Gen Intern Med. 2007;22(1):115–20.PubMedCrossRef Nwasuruba C, et al. Racial/ethnic differences in multiple self-care behaviors in adults with diabetes. J Gen Intern Med. 2007;22(1):115–20.PubMedCrossRef
14.
Zurück zum Zitat Thackeray R, et al. Disparities in diabetes management practice between racial and ethnic groups in the United States. Diabetes Educ. 2004;30(4):665–75.PubMedCrossRef Thackeray R, et al. Disparities in diabetes management practice between racial and ethnic groups in the United States. Diabetes Educ. 2004;30(4):665–75.PubMedCrossRef
15.
Zurück zum Zitat Nwasuruba C, et al. Racial differences in diabetes self-management and quality of care in Texas. J Diabetes Compl. 2009;23(2):112–8.CrossRef Nwasuruba C, et al. Racial differences in diabetes self-management and quality of care in Texas. J Diabetes Compl. 2009;23(2):112–8.CrossRef
16.
Zurück zum Zitat Harris MI, et al. Racial and ethnic differences in glycemic control of adults with type 2 diabetes. Diabetes Care. 1999;22(3):403–8.PubMedCrossRef Harris MI, et al. Racial and ethnic differences in glycemic control of adults with type 2 diabetes. Diabetes Care. 1999;22(3):403–8.PubMedCrossRef
17.
Zurück zum Zitat Nothwehr F, et al. Health-promoting behaviors among adults with type 2 diabetes: findings from the Health and Retirement Study. Prev Med. 2000;30(5):407–14.PubMedCrossRef Nothwehr F, et al. Health-promoting behaviors among adults with type 2 diabetes: findings from the Health and Retirement Study. Prev Med. 2000;30(5):407–14.PubMedCrossRef
18.
Zurück zum Zitat Coronado GD, et al. Sociodemographic factors and self-management practices related to type 2 diabetes among Hispanics and non-Hispanic whites in a rural setting. J Rural Health. 2007;23(1):49–54.PubMedCrossRef Coronado GD, et al. Sociodemographic factors and self-management practices related to type 2 diabetes among Hispanics and non-Hispanic whites in a rural setting. J Rural Health. 2007;23(1):49–54.PubMedCrossRef
19.
Zurück zum Zitat Brown AF, et al. Health behaviors and quality of care among Latinos with diabetes in managed care. Am J Public Health. 2003;93(10):1694–8.PubMedCrossRef Brown AF, et al. Health behaviors and quality of care among Latinos with diabetes in managed care. Am J Public Health. 2003;93(10):1694–8.PubMedCrossRef
20.
Zurück zum Zitat Tl Albright, et al. Predictors of self-care behavior in adults with type 2 diabetes: an RRNeST study. Family Med. 2001;33(5):354–60. Tl Albright, et al. Predictors of self-care behavior in adults with type 2 diabetes: an RRNeST study. Family Med. 2001;33(5):354–60.
21.
Zurück zum Zitat Chang HY, et al. A population study of the self-care behaviors and their associated factors of diabetes in Taiwan: results from the 2001 National Health Interview Survey in Taiwan. Prev Med. 2005;40(3):344–8.PubMedCrossRef Chang HY, et al. A population study of the self-care behaviors and their associated factors of diabetes in Taiwan: results from the 2001 National Health Interview Survey in Taiwan. Prev Med. 2005;40(3):344–8.PubMedCrossRef
22.
Zurück zum Zitat Tan M, et al. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Educ Couns. 2008;72(2):252–67.PubMedCrossRef Tan M, et al. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Educ Couns. 2008;72(2):252–67.PubMedCrossRef
23.
Zurück zum Zitat Yl Bai, et al. Self-care behaviour and related factors in older people with Type 2 diabetes. J Clin Nurs. 2009;18(23):3308–15.CrossRef Yl Bai, et al. Self-care behaviour and related factors in older people with Type 2 diabetes. J Clin Nurs. 2009;18(23):3308–15.CrossRef
24.
Zurück zum Zitat Skelly AH, et al. Self-monitoring of blood glucose in a multiethnic population of rural older adults with diabetes. Diabetes Educ. 2005;31(1):84–90.PubMedCrossRef Skelly AH, et al. Self-monitoring of blood glucose in a multiethnic population of rural older adults with diabetes. Diabetes Educ. 2005;31(1):84–90.PubMedCrossRef
25.
Zurück zum Zitat Gonzalez JS, et al. Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes. Diabetic Med. 2008;25(9):1102–7.PubMedCrossRef Gonzalez JS, et al. Symptoms of depression prospectively predict poorer self-care in patients with Type 2 diabetes. Diabetic Med. 2008;25(9):1102–7.PubMedCrossRef
26.
Zurück zum Zitat Lerman I, et al. Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. Biomed Pharmacother. 2004;58(10):566–70.PubMedCrossRef Lerman I, et al. Psychosocial factors associated with poor diabetes self-care management in a specialized center in Mexico City. Biomed Pharmacother. 2004;58(10):566–70.PubMedCrossRef
27.
Zurück zum Zitat Toljamo M, et al. Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. J Adv Nurs. 2001;34(6):780–6.PubMedCrossRef Toljamo M, et al. Adherence to self-care and glycaemic control among people with insulin-dependent diabetes mellitus. J Adv Nurs. 2001;34(6):780–6.PubMedCrossRef
28.
Zurück zum Zitat Bell RA, et al. Diabetes foot self-care practices in a rural triethnic population. Diabetes Educ. 2005;31(1):75–83.PubMedCrossRef Bell RA, et al. Diabetes foot self-care practices in a rural triethnic population. Diabetes Educ. 2005;31(1):75–83.PubMedCrossRef
29.
Zurück zum Zitat Huang MF, et al. Factors that affect health outcomes in adults with type 2 diabetes: a cross-sectional study. Int J Nurs Stud. 2010;47(5):542–9.PubMedCrossRef Huang MF, et al. Factors that affect health outcomes in adults with type 2 diabetes: a cross-sectional study. Int J Nurs Stud. 2010;47(5):542–9.PubMedCrossRef
30.
Zurück zum Zitat Johnston MV, et al. Personal and treatment factors associated with foot self-care among veterans with diabetes. J Rehabil Res Dev. 2006;43(2):227–38.PubMedCrossRef Johnston MV, et al. Personal and treatment factors associated with foot self-care among veterans with diabetes. J Rehabil Res Dev. 2006;43(2):227–38.PubMedCrossRef
31.
Zurück zum Zitat Caban A, et al. A systematic review of research on culturally relevant issues for Hispanics with diabetes. Diabetes Educ. 2006;32(4):584–95.PubMedCrossRef Caban A, et al. A systematic review of research on culturally relevant issues for Hispanics with diabetes. Diabetes Educ. 2006;32(4):584–95.PubMedCrossRef
32.
Zurück zum Zitat Mainous AG, et al. Acculturation and diabetes among Hispanics: evidence from the 1999–2002 National Health and Nutrition Examination Survey. Public Health Rep. 2006;121(1):60–6.PubMed Mainous AG, et al. Acculturation and diabetes among Hispanics: evidence from the 1999–2002 National Health and Nutrition Examination Survey. Public Health Rep. 2006;121(1):60–6.PubMed
33.
Zurück zum Zitat Lopez-Class M, et al. Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med. 2011;72(9):1555–62.PubMedCrossRef Lopez-Class M, et al. Conceptions of acculturation: a review and statement of critical issues. Soc Sci Med. 2011;72(9):1555–62.PubMedCrossRef
34.
Zurück zum Zitat Chakraborty BM, et al. Concept, measurement and use of acculturation in health and disease risk studies. Collegium Antropologicum. 2010;34(4):1179–91.PubMed Chakraborty BM, et al. Concept, measurement and use of acculturation in health and disease risk studies. Collegium Antropologicum. 2010;34(4):1179–91.PubMed
35.
Zurück zum Zitat Hazuda HP, et al. Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans. The San Antonio Heart Study. Am J Epidemiol. 1988;128(6):1289–301.PubMed Hazuda HP, et al. Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans. The San Antonio Heart Study. Am J Epidemiol. 1988;128(6):1289–301.PubMed
36.
Zurück zum Zitat Lara M, et al. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef Lara M, et al. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Annu Rev Public Health. 2005;26:367–97.PubMedCrossRef
37.
Zurück zum Zitat Bermudez OI, et al. Intake and food sources of macronutrients among older Hispanic adults: association with ethnicity, acculturation, and length of residence in the United States. J Am Diet Assoc. 2000;100(6):665–73.PubMedCrossRef Bermudez OI, et al. Intake and food sources of macronutrients among older Hispanic adults: association with ethnicity, acculturation, and length of residence in the United States. J Am Diet Assoc. 2000;100(6):665–73.PubMedCrossRef
38.
Zurück zum Zitat Dixon LB, et al. Differences in energy, nutrient, and food intakes in a US sample of Mexican-American women and men: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. Am J Epidemiol. 2000;152(6):548–57.PubMedCrossRef Dixon LB, et al. Differences in energy, nutrient, and food intakes in a US sample of Mexican-American women and men: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. Am J Epidemiol. 2000;152(6):548–57.PubMedCrossRef
39.
Zurück zum Zitat Montez JK, et al. Country of birth and language are uniquely associated with intakes of fat, fiber, and fruits and vegetables among Mexican-American women in the United States. J Am Diet Assoc. 2008;108(3):473–80.PubMedCrossRef Montez JK, et al. Country of birth and language are uniquely associated with intakes of fat, fiber, and fruits and vegetables among Mexican-American women in the United States. J Am Diet Assoc. 2008;108(3):473–80.PubMedCrossRef
40.
Zurück zum Zitat Ayala GX, et al. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108(8):1330–44.PubMedCrossRef Ayala GX, et al. A systematic review of the relationship between acculturation and diet among Latinos in the United States: implications for future research. J Am Diet Assoc. 2008;108(8):1330–44.PubMedCrossRef
41.
Zurück zum Zitat Mainous AG, et al. Acculturation and healthy lifestyle among Latinos with diabetes. Ann Fam Med. 2008;6(2):131–7.PubMedCrossRef Mainous AG, et al. Acculturation and healthy lifestyle among Latinos with diabetes. Ann Fam Med. 2008;6(2):131–7.PubMedCrossRef
42.
Zurück zum Zitat Ory MG, et al. The science of sustaining health behavior change: the Health Maintenance Consoritum. Am J Health Behav. 2010;34(6):647–59.PubMedCrossRef Ory MG, et al. The science of sustaining health behavior change: the Health Maintenance Consoritum. Am J Health Behav. 2010;34(6):647–59.PubMedCrossRef
43.
Zurück zum Zitat Tang TS, et al. Social support, quality of life, and self-care behaviors among African Americans with type 2 diabetes. Diabetes Educ. 2008;34(2):266–76.PubMedCrossRef Tang TS, et al. Social support, quality of life, and self-care behaviors among African Americans with type 2 diabetes. Diabetes Educ. 2008;34(2):266–76.PubMedCrossRef
44.
Zurück zum Zitat Wen LK, et al. Family support, diet, and exercise among older Mexican Americans with type 2 diabetes. Diabetes Educ. 2004;30(6):980–93.PubMedCrossRef Wen LK, et al. Family support, diet, and exercise among older Mexican Americans with type 2 diabetes. Diabetes Educ. 2004;30(6):980–93.PubMedCrossRef
45.
Zurück zum Zitat Bell RA, et al. Diabetes foot self-care practices in a rural triethnic population. Diabetes Educ. 2005;31(1):75–83.PubMedCrossRef Bell RA, et al. Diabetes foot self-care practices in a rural triethnic population. Diabetes Educ. 2005;31(1):75–83.PubMedCrossRef
46.
Zurück zum Zitat Gonzalez JS, et al. Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care. 2007;30(9):2222–7.PubMedCrossRef Gonzalez JS, et al. Depression, self-care, and medication adherence in type 2 diabetes: relationships across the full range of symptom severity. Diabetes Care. 2007;30(9):2222–7.PubMedCrossRef
47.
Zurück zum Zitat Park H, et al. Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. J Clin Epidemiol. 2004;57(9):978–84.PubMedCrossRef Park H, et al. Individuals with type 2 diabetes and depressive symptoms exhibited lower adherence with self-care. J Clin Epidemiol. 2004;57(9):978–84.PubMedCrossRef
48.
Zurück zum Zitat Hunt LM, et al. Should “acculturation” be a variable in health research? A critical review of research on US Hispanics. Soc Sci Med. 2004;59(5):973–86.PubMedCrossRef Hunt LM, et al. Should “acculturation” be a variable in health research? A critical review of research on US Hispanics. Soc Sci Med. 2004;59(5):973–86.PubMedCrossRef
49.
50.
Zurück zum Zitat Salant T, et al. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57(1):71–90.PubMedCrossRef Salant T, et al. Measuring culture: a critical review of acculturation and health in Asian immigrant populations. Soc Sci Med. 2003;57(1):71–90.PubMedCrossRef
51.
Zurück zum Zitat Lara M, et al. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Ann Rev Public Health. 2005;26:367–97.CrossRef Lara M, et al. Acculturation and Latino health in the United States: a review of the literature and its sociopolitical context. Ann Rev Public Health. 2005;26:367–97.CrossRef
52.
Zurück zum Zitat Pérez-Escamilla R, et al. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr. 2007;137(4):860–70.PubMed Pérez-Escamilla R, et al. The role of acculturation in nutrition, lifestyle, and incidence of type 2 diabetes among Latinos. J Nutr. 2007;137(4):860–70.PubMed
53.
Zurück zum Zitat Pérez-Escamilla R. Acculturation, nutrition, and health disparities in Latinos. Amer J Clin Nutr. 2011;93(5):1163S–7S.PubMedCrossRef Pérez-Escamilla R. Acculturation, nutrition, and health disparities in Latinos. Amer J Clin Nutr. 2011;93(5):1163S–7S.PubMedCrossRef
56.
Zurück zum Zitat Marin G, et al. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9(2):183–205.CrossRef Marin G, et al. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9(2):183–205.CrossRef
57.
Zurück zum Zitat Garrow JS, et al. Quetelet’s index (W/H2) as a measure of fatness. Int J Obes. 1985;9(2):147–53.PubMed Garrow JS, et al. Quetelet’s index (W/H2) as a measure of fatness. Int J Obes. 1985;9(2):147–53.PubMed
58.
Zurück zum Zitat Toobert DJ, et al. The summary of Diabetes Self-care Activities Measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943–50.PubMedCrossRef Toobert DJ, et al. The summary of Diabetes Self-care Activities Measure: results from 7 studies and a revised scale. Diabetes Care. 2000;23(7):943–50.PubMedCrossRef
59.
Zurück zum Zitat Vincent D, et al. The validity and reliability of a Spanish version of the summary of diabetes self-care activities questionnaire. Nursing Res. 2008;57(2):101–6.CrossRef Vincent D, et al. The validity and reliability of a Spanish version of the summary of diabetes self-care activities questionnaire. Nursing Res. 2008;57(2):101–6.CrossRef
62.
Zurück zum Zitat Harris MI. Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001;24(3):454–9.PubMedCrossRef Harris MI. Racial and ethnic differences in health care access and health outcomes for adults with type 2 diabetes. Diabetes Care. 2001;24(3):454–9.PubMedCrossRef
63.
Zurück zum Zitat Diaz-Apodaca BA, et al. Quality of diabetes care: a cross-sectional study of adults of Hispanic origin across and along the United States-Mexico border. Rev Panam Salud Publica. 2010;28(3):207–13.PubMedCrossRef Diaz-Apodaca BA, et al. Quality of diabetes care: a cross-sectional study of adults of Hispanic origin across and along the United States-Mexico border. Rev Panam Salud Publica. 2010;28(3):207–13.PubMedCrossRef
64.
Zurück zum Zitat Wen LK, et al. Family support and diet barriers among older Hispanic adults with type 2 diabetes. Fam Med. 2004;36(6):423–30.PubMed Wen LK, et al. Family support and diet barriers among older Hispanic adults with type 2 diabetes. Fam Med. 2004;36(6):423–30.PubMed
65.
Zurück zum Zitat Lorig KR, et al. Hispanic chronic disease self-management: a randomized community-based outcome trial. Nurs Res. 2003;52(6):361–9.PubMedCrossRef Lorig KR, et al. Hispanic chronic disease self-management: a randomized community-based outcome trial. Nurs Res. 2003;52(6):361–9.PubMedCrossRef
66.
Zurück zum Zitat Shortell SM, et al. Improving chronic illness care: a longitudinal cohort analysis of large physician organizations. Med Care. 2009;47(9):932–9.PubMedCrossRef Shortell SM, et al. Improving chronic illness care: a longitudinal cohort analysis of large physician organizations. Med Care. 2009;47(9):932–9.PubMedCrossRef
67.
Zurück zum Zitat Anders RL, et al. A health survey of a colonia located on the west Texas. US/Mexico border. J Immigr Minor Health. 2010;12(3):361–9.PubMedCrossRef Anders RL, et al. A health survey of a colonia located on the west Texas. US/Mexico border. J Immigr Minor Health. 2010;12(3):361–9.PubMedCrossRef
68.
Zurück zum Zitat Masel MC, et al. Examining the role of acculturation in health behaviors of older Mexican Americans. Am J Health Behav. 2006;30(6):684–99.PubMedCrossRef Masel MC, et al. Examining the role of acculturation in health behaviors of older Mexican Americans. Am J Health Behav. 2006;30(6):684–99.PubMedCrossRef
69.
Zurück zum Zitat Cantero PJ, et al. The association between acculturation and health practices among middle-aged and elderly Latinas. Ethn Dis. 1999;9(2):166–80.PubMed Cantero PJ, et al. The association between acculturation and health practices among middle-aged and elderly Latinas. Ethn Dis. 1999;9(2):166–80.PubMed
70.
Zurück zum Zitat Dergance JM, et al. Potential mediators of ethnic differences in physical activity in older Mexican Americans and European Americans: results from the San Antonio Longitudinal Study of Aging. J Am Geriatr Soc. 2005;53(7):1240–7.PubMedCrossRef Dergance JM, et al. Potential mediators of ethnic differences in physical activity in older Mexican Americans and European Americans: results from the San Antonio Longitudinal Study of Aging. J Am Geriatr Soc. 2005;53(7):1240–7.PubMedCrossRef
71.
Zurück zum Zitat Harris MI. Frequency of blood glucose monitoring in relation to glycemic control in patients with type 2 diabetes. Diabetes Care. 2001;24(6):979.PubMedCrossRef Harris MI. Frequency of blood glucose monitoring in relation to glycemic control in patients with type 2 diabetes. Diabetes Care. 2001;24(6):979.PubMedCrossRef
72.
Zurück zum Zitat American Diabetes Association. Standards of medical care in diabetes-2010. Position statement. Diabetes Care. 2010;33(Suppl 1):S29–61. American Diabetes Association. Standards of medical care in diabetes-2010. Position statement. Diabetes Care. 2010;33(Suppl 1):S29–61.
Metadaten
Titel
Personal and Cultural Influences on Diabetes Self-Care Behaviors Among Older Hispanics Born in the U.S. and Mexico
verfasst von
Nelda Mier
Matthew Lee Smith
Genny Carrillo-Zuniga
Xiaohui Wang
Norma Garza
Marcia G. Ory
Publikationsdatum
01.12.2012
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 6/2012
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9639-x

Weitere Artikel der Ausgabe 6/2012

Journal of Immigrant and Minority Health 6/2012 Zur Ausgabe