Racial/Ethnic Disparities in Management of Diabetes

糖尿病管理中的种族/民族差异

• 批准号: 7010929
• 负责人: CARY S. KART
• 金额: $ 17.4万
• 依托单位: MIAMI UNIVERSITY OXFORD
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7010929
• 关键词: African American; Hispanic Americans; age difference; behavioral /social science research tag; caucasian American; clinical research; diabetes mellitus therapy; gender difference; health; health care service evaluation; health disparity; health insurance; health services research tag; health surveys; human data; income; longitudinal human study; patient care management; racial /ethnic difference; self care

DESCRIPTION (provided by applicant): Diabetes mellitus (DM) is a major cause of morbidity and mortality in the U.S. An estimated 18.2 million people in the U.S. now have DM (5 million are undiagnosed), reflecting an approximate 100% increase over the past two decades. The incidence is escalating, occurs at younger ages, and the burdens of DM fall most heavily on minority adults. Estimates of the lifetime risk of developing DM among people bom in the U.S. in 2000 are now one-in-three. Despite the successful development of new treatment regimens, progress in the management of DM has been elusive; only 7.3% of people diagnosed with DM meet treatment goals for blood glucose, blood pressure and cholesterol, and there has been little improvement since 1988. The conceptual model that drives this research study predicts that individual predisposing, enabling and need characteristics will explain disparities in the management of DM. The main objective of the study is to gain a better understanding of factors that facilitate or impede effective management of DM and, as needed, contribute to development of culturally-diverse materials/strategies for addressing specific aspects of management of DM in different minority groups. Data from three separate BRFSS surveys (2001, 2002 and 2003) will be used to test hypotheses derived from the model. Non-Hispanic Whites, non- Hispanic African Americans and Hispanics 18 years of age and older with DM will be the focus of the research. Key dependent variables include 15 indicators of clinical and self-management of DM. OLS multiple regression and logistic regression are the basic analytic strategies. The analytic plan will be implemented by 16 undergraduate (and a limited number of graduate) students during a semester-long, 4 credit-hour lecture/lab course taught by the investigators, with the assistance of a doctoral-level research assistant. Results will be disseminated locally via a Diabetes Research Day and nationally through peer- reviewed journal articles. The AREA (R15) is an ideal mechanism to support the proposed research.

描述（由申请人提供）：糖尿病 (DM) 是美国发病和死亡的主要原因。据估计，美国目前有 1,820 万人患有 DM（其中 500 万人未确诊），较过去增加了约 100%二十年。发病率呈上升趋势，且发病年龄较年轻，少数族裔成年人的糖尿病负担最重。目前，2000 年出生于美国的人终生患糖尿病的风险估计为三分之一。尽管成功开发了新的治疗方案，但糖尿病的治疗进展却一直难以捉摸。只有 7.3% 的糖尿病诊断患者达到了血糖、血压和胆固醇的治疗目标，而且自 1988 年以来几乎没有改善。推动这项研究的概念模型预测，个体的倾向、支持和需求特征将解释糖尿病治疗中的差异。 DM 的管理。该研究的主要目的是更好地了解促进或阻碍有效管理糖尿病的因素，并根据需要有助于开发文化多样化的材料/策略，以解决不同少数群体中糖尿病管理的具体问题。来自三项单独的 BRFSS 调查（2001 年、2002 年和 2003 年）的数据将用于检验从该模型得出的假设。非西班牙裔白人、非西班牙裔非裔美国人和 18 岁及以上患有糖尿病的西班牙裔将成为研究的重点。关键因变量包括 15 项 DM 临床和自我管理指标。 OLS多元回归和逻辑回归是基本的分析策略。该分析计划将由 16 名本科生（和有限数量的研究生）在研究人员教授的为期一个学期、4 个学分的讲座/实验室课程中实施，并有一名博士级研究助理的协助。结果将通过糖尿病研究日在当地传播，并通过同行评审的期刊文章在全国传播。 AREA (R15) 是支持拟议研究的理想机制。

项目成果

Promoting active engagement in health research: lessons from an undergraduate gerontology capstone course.

促进积极参与健康研究：本科老年学顶点课程的教训。

• DOI: 10.1080/02701960802223159
• 发表时间: 2008
• 期刊: Gerontology & geriatrics education
• 影响因子: 1.6
• 作者: Robbins,EmilyJ;Kinney,JenniferM;Kart,CaryS
• 通讯作者: Kart,CaryS