Prevalence and management of diabetes among the uninsured: A multicenter study in Tampa Bay, FL
| Autor: | Laurie Woodard, Noura Ayoubi, Eslam Mohamed, Hozaifa Tabbaa, Hadi Joud, Firaas Khan, Abu-Sayeef Mirza, Sabbir Mirza, Asa Oxner, Mouaz Tabbaa, Chighaf Bakour, Lucy Guerra, Madeline MacDonald |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Endocrinology Diabetes and Metabolism media_common.quotation_subject 030209 endocrinology & metabolism Logistic regression 03 medical and health sciences 0302 clinical medicine Endocrinology Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Prevalence Humans 030212 general & internal medicine Depression (differential diagnoses) Glycemic media_common Retrospective Studies Medically Uninsured business.industry General Medicine Middle Aged medicine.disease Obesity Health equity Social history (medicine) Unemployment Florida Female business Demography |
| Zdroj: | Diabetes research and clinical practice. 171 |
| ISSN: | 1872-8227 |
| Popis: | Aims This study describes the prevalence and management of uninsured patients with diabetes in free clinics around the Tampa Bay area. Methods A retrospective chart review collected data from uninsured patients who visited nine free clinics from January 2016 to December 2017. The data included sociodemographics, chronic disease diagnoses and treatments, and social history. Statistical analysis including chi-square tests and logistic regression were used to describe patients with diabetes. Results With a prevalence of 19.41% among 6815 uninsured patients and a mean HbA1c of 7.9% (63 mmol/mol), patients with diabetes were more likely to be White, women, obese, unemployed, and have hypertension and depression compared to patients without diabetes. There were no significant differences in sociodemographic variables between those with controlled and uncontrolled diabetes. Among the variables studied by logistic regression, unemployment was found to be a significant predictor of poor glycemic control among men. Conclusions Diabetes is a challenging chronic disease among the uninsured of Tampa Bay due to its prevalence and suboptimal glycemic control. Obesity and unemployment represent significant challenges that increase the burden of diabetes among the uninsured. Free clinics may benefit from additional resources and intervention programs, with future research assessing their effects on care outcomes. |
| Databáze: | OpenAIRE |
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