Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital

April K. Wilhelm; Debra J. Jacobson; Laura Guzman-Corrales; Chun Fan; Karen Baker; Jane W. Njeru; Mark L. Wieland; Deborah H. Boehm

doi:10.1007/s10900-016-0155-0

Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital

April K. Wilhelm, Debra J. Jacobson, Laura Guzman-Corrales, Chun Fan, Karen Baker, Jane W. Njeru, Mark L. Wieland, Deborah H. Boehm

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.

Original language	English (US)
Pages (from-to)	798-804
Number of pages	7
Journal	Journal of Community Health
Volume	41
Issue number	4
DOIs	https://doi.org/10.1007/s10900-016-0155-0
State	Published - Aug 1 2016
Externally published	Yes

Bibliographical note

Funding Information:
This study was funded by the Robert D. and Patricia E. Kern Mayo Clinic Center for the Science of Health Care Delivery.

Publisher Copyright:
© 2016, Springer Science+Business Media New York.

Keywords

Diabetes
Immigrant
Interpreter use
Limited English language proficiency

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10900-016-0155-0

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abstract = "Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.",

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AU - Fan, Chun

AU - Baker, Karen

AU - Njeru, Jane W.

AU - Wieland, Mark L.

AU - Boehm, Deborah H.

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N2 - Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.

AB - Adherence to diabetic care guidelines among US immigrants remains low. This study assesses adherence to diabetic care guidelines by country-of-origin and language among a limited English-proficient (LEP) population. Timely completion of diabetic measures and acceptable levels of hemoglobin A1c (A1c), low density lipoprotein (LDL) cholesterol, and blood pressure (BP) were compared between LEP and English-proficient (EP) patients in this 2013 retrospective cohort study of adult diabetics. More LEP patients met BP targets (83 vs. 68 %, p < 0.0001) and obtained LDL targets (89 vs. 85 %, p = 0.0007); however, they had worse LDL control (57 vs. 62 %, p = 0.0011). Ethiopians and Somalians [adjusted OR (95 % CI) = 0.44 (0.30, 0.63)] were less likely than Latin Americans to meet BP goals. LEP patients outperformed EP peers on several diabetic outcomes measures with important variation between groups. These data highlight the success of a safety net hospital in improving diabetes management among diverse populations.

KW - Diabetes

KW - Immigrant

KW - Interpreter use

KW - Limited English language proficiency

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Regional Variation in Diabetic Outcomes by Country-of-Origin and Language in an Urban Safety Net Hospital

Abstract

Bibliographical note

Keywords

UN SDGs

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