PMID- 21293085
OWN - NLM
STAT- MEDLINE
DCOM- 20110322
LR  - 20221207
IS  - 1941-9260 (Electronic)
IS  - 0032-5481 (Linking)
VI  - 123
IP  - 1
DP  - 2011 Jan
TI  - Levels of acculturation and effect on glycemic control in Mexicans and Mexican 
      Americans with type 2 diabetes.
PG  - 66-72
LID - 10.3810/pgm.2011.01.2246 [doi]
AB  - BACKGROUND: Acculturation of Mexican Americans toward the predominant American 
      culture has been shown to influence health outcomes. Little is known about the 
      role of acculturation in diabetes control. OBJECTIVE: To measure the association 
      between acculturation and diabetes control in Mexicans and Mexican Americans with 
      type 2 diabetes mellitus (T2DM). DESIGN: Cross-sectional survey and chart review. 
      SETTING: Ambulatory family medicine clinics. PATIENTS: Sixty-six Mexican and 
      Mexican American adults with T2DM for >/= 1 year. INSTRUMENT AND OUTCOMES: A survey 
      tool was developed that included the General Acculturation Index developed by 
      Balcazar et al to measure acculturation. Basic demographics, psychosocial 
      factors, patient satisfaction, and patients' most recent hemoglobin A(1c) 
      (HbA(1c)) levels were also obtained. RESULTS: There was no significant 
      correlation between acculturation score and HbA(1c) levels. On binary logistic 
      regression, HbA(1c) levels were associated with patient satisfaction in having 
      their questions answered (odds ratio [OR], 0.44; P < 0.05), interference of 
      diabetes with daily life (OR, 1.4; P < 0.05), male gender (OR, 3.93; P < 0.01), 
      and number of diabetes complications (OR, 1.81; P < 0.05). In the multivariate 
      linear regression model, age (beta, -0.348; P < 0.05) and frequency of physician 
      visits (beta, -0.403; P < 0.05) were the only variables significantly associated 
      with glycemic control. Variables included in the model that were not associated 
      with glycemic control include family history of diabetes and confidence in 
      diabetes treatment efficacy. CONCLUSIONS: Acculturation was not associated with 
      glycemic control in this population. Family physicians should not assume that 
      acculturation difficulties explain poor glycemic control in their Mexican 
      American patients with T2DM.
FAU - Ross, Sarah E
AU  - Ross SE
AD  - Department of Family Medicine, John Peter Smith Hospital, Ft. Worth, TX 76104, 
      USA. sross01@jpshealth.org
FAU - Franks, Susan F
AU  - Franks SF
FAU - Hall, James
AU  - Hall J
FAU - Young, Richard
AU  - Young R
FAU - Cardarelli, Roberto
AU  - Cardarelli R
LA  - eng
PT  - Journal Article
PL  - England
TA  - Postgrad Med
JT  - Postgraduate medicine
JID - 0401147
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - *Acculturation
MH  - Aged
MH  - Appointments and Schedules
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*blood/*ethnology
MH  - Female
MH  - Glycated Hemoglobin/analysis
MH  - Humans
MH  - Male
MH  - *Mexican Americans
MH  - Mexico/ethnology
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Regression Analysis
MH  - Socioeconomic Factors
MH  - United States/epidemiology
EDAT- 2011/02/05 06:00
MHDA- 2011/03/23 06:00
CRDT- 2011/02/05 06:00
PHST- 2011/02/05 06:00 [entrez]
PHST- 2011/02/05 06:00 [pubmed]
PHST- 2011/03/23 06:00 [medline]
AID - 10.3810/pgm.2011.01.2246 [doi]
PST - ppublish
SO  - Postgrad Med. 2011 Jan;123(1):66-72. doi: 10.3810/pgm.2011.01.2246.