title: Self-Care Behaviors and Glycemic Control in Low-Income Adults in México With Type 2 Diabetes Mellitus May Have Implications for Patients of Mexican Heritage Living in the United States.
abstract: This study examined self-care behaviors and their relationship to glycemic control in low-income Mexican adults with type 2 diabetes in Southeastern Tamaulipas, México. A total of 135 patients were enrolled from 17 community health centers. The most frequent self-care behavior was medication management (80%), and the least frequent self-care behavior was self blood glucose monitoring (7%). All the patients demonstrated poor glycemic control, with glycated hemoglobin > 7%. Self-care behaviors were associated with fasting blood glucose (rs = .223, p = .005). Medication management was influenced by cognitive performance, F(1, 130) = 4.49, p = .036, and depression, F(1, 130) = 8.22, p = .005. Dietary behaviors were influenced by previous diabetes education, F(1, 130) = 6.73, p = .011. These findings indicate that education and cognitive behavioral interventions in Spanish for Mexican adults with type 2 diabetes are urgently needed.
authors.affiliation: Autonomous University of Tamaulipas, Tampico, México lcompean@uat.edu.mx.
authors.forename: Lidia G
authors.initials: LG
authors.lastname: Compeán Ortiz
authors.affiliation: Autonomous University of Tamaulipas, Tampico, México.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Del Ángel Pérez
authors.affiliation: Autonomous University of Tamaulipas, Tampico, México.
authors.forename: Eunice
authors.initials: E
authors.lastname: Reséndiz González
authors.affiliation: Autonomous University of Tamaulipas, Tampico, México.
authors.forename: Socorro
authors.initials: S
authors.lastname: Piñones Martínez
authors.affiliation: Autonomous University of Tamaulipas, Tampico, México.
authors.forename: Nora H
authors.initials: NH
authors.lastname: González Quirarte
authors.affiliation: The University of North Carolina at Chapel Hill, USA.
authors.forename: Diane C
authors.initials: DC
authors.lastname: Berry
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000378:metabolism*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D012648:Self Care; D014481:United States
chemical_list: D001786:Blood Glucose
keywords: diabetes; diabetes care; health promotion; nursing interventions