title: Health behaviors and quality of care among Latinos with diabetes in managed care.
abstract: OBJECTIVE
  We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care.
  
  
  METHODS
  Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking Latinos.
  
  
  RESULTS
  Latinos had lower rates of self-monitoring of blood glucose and worse glycemic control than did Whites, higher rates of foot self-care and dilated-eye examinations, and comparable rates of other processes and intermediate outcomes of care.
  
  
  CONCLUSIONS
  Although self-management and quality of care are comparable for Latinos and Whites with diabetes, important ethnic disparities persist in the managed care settings studied.
authors.affiliation: School of Medicine at the University of California, Los Angeles, CA 90095, USA. abrown@mednet.ucla.edu
authors.forename: Arleen F
authors.initials: AF
authors.lastname: Brown
authors.forename: Robert B
authors.initials: RB
authors.lastname: Gerzoff
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Karter
authors.forename: Edward
authors.initials: E
authors.lastname: Gregg
authors.forename: Monika
authors.initials: M
authors.lastname: Safford
authors.forename: Beth
authors.initials: B
authors.lastname: Waitzfelder
authors.forename: Gloria L A
authors.initials: GL
authors.lastname: Beckles
authors.forename: Rebecca
authors.initials: R
authors.lastname: Brusuelas
authors.forename: Carol M
authors.initials: CM
authors.lastname: Mangione
mesh_terms: D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring; D015331:Cohort Studies; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D015438:Health Behavior / Q000208:ethnology*; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007802:Language; D008329:Managed Care Programs / Q000592:standards*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance / Q000208:ethnology*; D014481:United States; D044465:White People / Q000523:psychology
chemical_list: D006442:Glycated Hemoglobin