title: Race, socioeconomic status, health-related quality of life, and self-care of type 2 diabetes mellitus among adults in North Carolina.
abstract: OBJECTIVE
  The objective of this study was to examine the associations among race, education, income, and health-related quality of life (HRQoL) in self-care of type 2 diabetes mellitus among adults in North Carolina.
  
  
  METHODS
  A secondary analysis was conducted using data from the 2009 Behavioral Risk Factor Surveillance Survey (BRFSS), a large population-based survey (N = 432,607) conducted in the United States. The data were analyzed to account for the weighted complex multistage sampling design of the Behavioral Risk Factor Surveillance Survey. Parametric testing using univariate/bivariate/multivariate analysis was performed.
  
  
  RESULTS
  The majority of participants reported taking a class/course on diabetes mellitus management and having checked their blood glucose levels at least once per day. The majority (61.26%) of the participants did not have good self-management skills, based on the education and blood glucose-monitoring criteria established for this study. Participants with poor HRQoL had significantly increased odds of good diabetes mellitus self-care practices.
  
  
  CONCLUSIONS
  Individuals with poor HRQoL had significantly increased odds of good diabetes mellitus self-care practices. Although findings on race, education, and income were not statistically significant, they were consistent with previous research. In the future, individuals who are nonwhite, have less than a high school level of education, and have no health insurance should be targeted to improve diabetes mellitus self-care practices through educational and informational materials. Further investigation using more comprehensive measures of diabetes mellitus self-care is warranted.
authors: From the Public Health Sciences Department, University of North Carolina, Charlotte.
authors: Crystal N
authors: CN
authors: Piper
authors: From the Public Health Sciences Department, University of North Carolina, Charlotte.
authors: Shilpa
authors: S
authors: Chalakalal
authors: From the Public Health Sciences Department, University of North Carolina, Charlotte.
authors: Neethu
authors: N
authors: Sebastian
authors: From the Public Health Sciences Department, University of North Carolina, Charlotte.
authors: Jan
authors: J
authors: Warren-Findlow
authors: From the Public Health Sciences Department, University of North Carolina, Charlotte.
authors: Michael E
authors: ME
authors: Thompson
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000208:ethnology* / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D009657:North Carolina; D011788:Quality of Life / Q000523:psychology*; D044469:Racial Groups; D012648:Self Care; D012923:Social Class
chemical_list: D001786:Blood Glucose