title: Migration, Health Care Behaviors, and Primary Care for Rural Latinos with Diabetes.
abstract: Many US Latinos migrate or travel between the US and Mexico on a regular basis, defined as circular migration. Latinos with diabetes (n = 250) were surveyed about circular migration and their ability to use medications and perform recommended diabetes self-care activities. A review of medical charts was performed. Twenty-eight percent (n = 70) of patients traveled to Mexico during the last 12 months. Older Latinos were more likely to report traveling to Mexico and back into the US. Among those that traveled, 29 % reported use of less medication than they wanted to or were prescribed because of travel and 20 % ran out of medications. The rate of reported problem areas while traveling were 39 % (27/70) for following a diabetic diet, 31 % (21/70) for taking medication, and 37 % (26/70) for glucose self-monitoring. The results suggest that the structure of primary care and care coordination are important for this population to fully engage in diabetes self-care.
authors.affiliation: Department of Family Medicine, David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA, 90024, USA. gemoreno@mednet.ucla.edu.
authors.forename: Gerardo
authors.initials: G
authors.lastname: Moreno
authors.affiliation: School of Medicine, University of Washington, Seattle, WA, USA.
authors.forename: Leo S
authors.initials: LS
authors.lastname: Morales
authors.affiliation: Livingston Health Centers, Inc., Livingston, CA, USA.
authors.forename: Felicia
authors.initials: F
authors.lastname: Batts
authors.affiliation: Community Health Centers, Inc., Stockton, CA, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Noguera
authors.affiliation: University of California Davis, Davis, CA, USA.
authors.forename: Marilu
authors.initials: M
authors.lastname: Isiordia
authors.affiliation: Division of Health Services Research and General Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.|Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
authors.forename: Carol M
authors.initials: CM
authors.lastname: Mangione
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D015190:Blood Glucose Self-Monitoring; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000628:therapy*; D004032:Diet; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D008297:Male; D055118:Medication Adherence; D017058:Mexican Americans; D008800:Mexico; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D010349:Patient Compliance / Q000208:ethnology*; D011320:Primary Health Care / Q000458:organization & administration*; D012424:Rural Population; D012648:Self Care; D012959:Socioeconomic Factors; D014171:Transients and Migrants; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents
keywords: Bi-national healthcare; Diabetes; Latinos; Migration