PRP076: Diabetes Screening in Older Adults among Hispanic Subgroups

John Heintzman, MD, MPH; Jon Puro, MPA; Jennifer Lucas, PhD; Miguel Marino, PhD; Roopradha Datta; David Ezekiel-Herrera, MS; Sophia Giebultowicz, MA; Erika Cottrell, PhD, MPP

Abstract

Context: The prevalence of diabetes is high among Hispanic patients, yet members of some Hispanic subgroups, such as those with Mexican heritage, are more likely to be affected by diabetes than others. Culturally appropriate primary care should offer screening and treatment recommendations that patients can understand, and in their own language. It is uncertain whether patients in all Hispanic subgroups are screened for diabetes equitably. Objective: To examine the prevalence of diabetes screenings among patients in various Hispanic subgroups. Study Design: Retrospective observational study Setting or Dataset: Data from a national network of community health centers in the OCHIN network linked with neighborhood-level Hispanic subgroup data. Population studied: Adults aged ≥60 with ≥1 ambulatory visit in study clinics between 2012-2017, and who had census tract-level geocoded addresses. Outcome Measures: Proportion of older adults with HbA1c by predominant subgroup in their neighborhood. We will use GEE logistic regression adjusted for patient-level characteristics such as age, sex, insurance type, ambulatory visits per year, BMI, and income. Results: We anticipate that neighborhoods with predominantly Mexican heritage will have higher diabetes screening than other neighborhoods. Conclusions: It is important to consider how provider behavior may differ across various cultural groups. Knowledge of screening patterns in a prevalent disease such as diabetes may aid primary care providers in following screening recommendations to deliver care more equitably to all patients.

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