title: Does gender influence participation? Predictors of participation in a community health worker diabetes management intervention with African American and Latino adults.
abstract: The purpose of the study was to determine the effects of gender on participation in a community-based, culturally tailored diabetes lifestyle intervention, led by trained community health workers (CHW) and conducted with African Americans and Latinos with type 2 diabetes.
  
  
  
  This study utilized data collected from 180 participants. Multivariable binary and cumulative logistic regression models were used to analyze associations between gender and race/ethnicity with study completion and participation in 3 aspects of the intervention: group classes, CHW home visits, and CHW-accompanied doctor visits.
  
  
  
  Among Latinos, men were less likely than women to complete the study, attend group classes, and complete CHW home visits. There were no gender differences in participation seen among African Americans.
  
  
  
  Diabetes management interventions may need to adapt their designs to optimize retention and participation of Latino men. Among African American men, the CHW model may be promising. Reasons for low participation among Latino men should receive more study. Future studies should assess whether similar findings apply in other communities and populations.
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, Michigan (Ms Hawkins, Dr Kieffer, Ms Sinco, Dr Spencer)|REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)
authors.forename: Jaclynn
authors.initials: J
authors.lastname: Hawkins
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, Michigan (Ms Hawkins, Dr Kieffer, Ms Sinco, Dr Spencer)|REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)
authors.forename: Edith C
authors.initials: EC
authors.lastname: Kieffer
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, Michigan (Ms Hawkins, Dr Kieffer, Ms Sinco, Dr Spencer)|REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)
authors.forename: Brandy
authors.initials: B
authors.lastname: Sinco
authors.affiliation: University of Michigan School of Social Work, Ann Arbor, Michigan (Ms Hawkins, Dr Kieffer, Ms Sinco, Dr Spencer)|REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)
authors.forename: Michael
authors.initials: M
authors.lastname: Spencer
authors.affiliation: REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)|Community Health and Social Services Center, Detroit, Michigan (Mr Anderson)
authors.forename: Michael
authors.initials: M
authors.lastname: Anderson
authors.affiliation: REACH Detroit Partnership, Detroit, Michigan (Ms Hawkins, Dr Kieffer, Dr Rosland, Ms Sinco, Mr Anderson, Dr Spencer)|University of Michigan Medical School Department of Internal Medicine, Ann Arbor, Michigan (Dr Rosland)|VA Ann Arbor Center for Clinical Management Research, Ann Arbor Center for Clinical Management Research, Ann Arbor, Michigan (Dr Rosland)
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Rosland
mesh_terms: D001741:Black or African American / Q000208:ethnology / Q000523:psychology; D001786:Blood Glucose / Q000378:metabolism; D003153:Community Health Services; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000208:ethnology; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000208:ethnology / Q000523:psychology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008824:Michigan / Q000453:epidemiology / Q000208:ethnology; D008875:Middle Aged; D016017:Odds Ratio; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology; D012648:Self Care / Q000523:psychology; D012737:Sex Factors
chemical_list: D001786:Blood Glucose