title: Ethnic differences in diabetes prevalence and ICT use.
abstract: BACKGROUND
  Uptake of information and communication technology (ICT) by individuals with diabetes can assist nursing care delivery, and improve patient outcomes. However, it is unclear how such uptake relates to ethnic differences in diabetes risk.
  
  
  OBJECTIVE
  To assess the moderating effects of ICT uptake on South Asian excess diabetes prevalence over a specific elapsed timeframe, accounting for selected environmental, socio-economic, and behavioural risk factors.
  
  
  METHODS
  Archived data from a UK Office for National Statistics household survey 2006-2011 (120 621 partly non-orthogonal participant records) were analysed using hierarchical binary logistic regression analyses.
  
  
  RESULTS
  ICT uptake qualified ethnic differences in diabetes prevalence. Non-smoking diabetes cases living in terraced housing with a home computer were more likely to be South Asian than Caucasian. By contrast, such cases were more likely to be Caucasian if a computer was unavailable (OR: 0.61; CI: 0.43-0.86; P=0.005). Furthermore, diabetes cases from low-income, mobile-dependent homes were probably South Asian (OR: 0.05; CI: 0.00-0.50; P=0.012).
  
  
  CONCLUSIONS
  Home computing was linked to better tobacco control among South Asians with diabetes living in terraced properties. Mobile phone dependence was pronounced in those that received income support. Implications for nursing care are considered.
authors.affiliation: Senior Lecturer and Chartered Psychologist, School of Natural Sciences and Psychology at Liverpool John Moores University.
authors.forename: Kanayo
authors.initials: K
authors.lastname: Umeh
authors.affiliation: Senior Lecturer, Department of Computer Science at Liverpool John Moores University.
authors.forename: Michael
authors.initials: M
authors.lastname: Mackay
authors.affiliation: Research Assistant, School of Natural Sciences & Psychology, at Liverpool John Moores University.
authors.forename: Stephanie Davis
authors.initials: SD
authors.lastname: Le-Brun
mesh_terms: D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000208:ethnology*; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D015995:Prevalence; D017216:Telemedicine; D006113:United Kingdom / Q000453:epidemiology
keywords: Ethnicity; Home computer; Mobile phone; Public health; Technology