title: The provision of diabetes-monitoring exams to older Latinos.
abstract: OBJECTIVE
  To explore factors associated with the provision of diabetes-monitoring practices among older Latinos with type 2 diabetes.
  
  
  METHODS
  Data from 547 Latinos (≥ 55 years) were analyzed from the 2007 California Health Interview Survey. Multivariate logistic regression modeled the relationship between health status and sociodemographic factors and the receipt of semiannual HbA1c tests, annual foot exams, and annual retinal exams.
  
  
  RESULTS
  The majority of older Latino diabetics received foot exams (87%) and retinal exams (77%), but the provision of semiannual HbA1c tests (30%) was low. Higher English-language proficiency and health insurance coverage were associated with the provision of HbA1c tests and foot exams, but not retinal exams. Insulin therapy was positively associated with semiannual HbA1c testing, but negatively associated with foot exams.
  
  
  CONCLUSIONS
  There are considerable missed opportunities in the provision of diabetes monitoring for older Latinos, particularly those with limited English proficiency, less comprehensive insurance, and noninsulin therapy.
authors.affiliation: University of California, Los Angeles, School of Public Health, Los Angeles CA, USA. yaxche9@gmail.com
authors.forename: Angelica P
authors.initials: AP
authors.lastname: Herrera
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
authors.forename: Hector P
authors.initials: HP
authors.lastname: Rodriguez
authors.forename: Ruth
authors.initials: R
authors.lastname: Warre
authors.forename: Wesley K
authors.initials: WK
authors.lastname: Thompson
authors.forename: Annette
authors.initials: A
authors.lastname: Azcue
authors.forename: Jairo A
authors.initials: JA
authors.lastname: Romero
mesh_terms: D000368:Aged; D002140:California; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy / Q000208:ethnology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D010808:Physical Examination / Q000706:statistics & numerical data*
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin; C517652:hemoglobin A1c protein, human