title: Analysis of behavior risk factor surveillance system data to assess the health of Hispanics with diabetes in US-Mexico border communities.
abstract: The purpose of this study is to describe and compare personal characteristics, health care access and utilization, and self-management behaviors of Hispanic American adults diagnosed with diabetes who reside in 3 US-Mexico border counties in Arizona, New Mexico, and Texas. This study also examines the status of this population in attaining Healthy People (HP) 2020 diabetes target goals.
  
  
  
  Data were extracted from the 2005-2009 Selected Metropolitan/Micropolitan Area Risk Trends (SMART): Behavioral Risk Factor Surveillance System (BRFSS) to analyze behavioral and health system factors associated with diabetes management among Hispanic American adults who reside in the border counties (N = 600). Data were analyzed using descriptive statistics and compared using chi-square and one-way analysis of variance.
  
  
  
  There were significant differences in health care access and utilization and in 1 self-management behavior (daily feet checks) across the counties. The majority of participants (83.4%) had a care provider, however the HP 2020 diabetes target goals for A1C monitoring or foot exams conducted by a care provider were not met. Participants in all counties met the target goal for dilated eye exams.
  
  
  
  Improvement of diabetes management among this population should focus on border health system barriers to attaining HP 2020 diabetes target goals.
authors.affiliation: The University of Arizona College of Nursing, Tucson, Arizona, USA (Dr McEwen, Dr Pasvogel)
authors.forename: Marylyn Morris
authors.initials: MM
authors.lastname: McEwen
authors.affiliation: Primary affiliation is a lecturer in Yuh-Ing Junior College of Health Care & Management in Taiwan. Secondary affiliation is a doctoral candidate in School of Nursing, Kaohsiung Medical University in Taiwan.
authors.forename: Pei-Chao
authors.initials: PC
authors.lastname: Lin
authors.affiliation: The University of Arizona College of Nursing, Tucson, Arizona, USA (Dr McEwen, Dr Pasvogel)
authors.forename: Alice
authors.initials: A
authors.lastname: Pasvogel
mesh_terms: D000704:Analysis of Variance; D001130:Arizona / Q000453:epidemiology; D040343:Behavioral Risk Factor Surveillance System; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009516:New Mexico / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D011314:Preventive Health Services; D012309:Risk-Taking; D012648:Self Care / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D013781:Texas / Q000453:epidemiology