Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts
Authors' conclusion
Characteristics of medically underserved communities with diabetes vary by state and by race and ethnicity. Florida's lack of Medicaid expansion could be a factor in worsened risks for vulnerable communities with diabetes.
Study context
- Population
- Adults with diabetes in medically underserved communities (Federally Qualified Health Centers, ECHO Diabetes program), California and Floridaparticipant-level cohort
- Participants
- 582 adults
- Exposure
- Florida vs California; by race and ethnicity
- Outcome
- Outcomes by state
Methodological detailstwo cohorts, 20 Federally Qualified Health Centers, participant-level and center-level data, generalized linear mixed models
- Two cohorts
- 20 Federally Qualified Health Centers
- Participant-level and center-level data
- Generalized linear mixed models
Main finding
As reported in the abstract
- Continuous glucose monitor (CGM) use: 18.3% Florida; 35.9% California
- p<0.0001
- Pump use: 10.2% Florida; 26.5% California
- p<0.0001
Observational data: associations, not effects.
Further findings
Mean
| Outcome | NHB | NHW | P value |
|---|---|---|---|
| HbA1c by race and ethnicity (within states)Higher HbA1c in NHB | 9.5 (95% CI 8.9–10.0) | 8.4 (95% CI 7.8–9.0) | P = 0.0058 |
- Pump and CGM use by race and ethnicity · lower pump use in non-Hispanic black (NHB)
- P = 0.0426
- Pump and CGM use by race and ethnicity · lower CGM use in NHB
- P = 0.0192
CGM use by language preference
- People who prefer to speak English more likely to use a CGM
- P = 0.0386
Center-level cohort
- Adults with diabetes represented
- 32 796
- T1D / T2D
- 3.4% / 96.6%
- Publicly insured or uninsured
- 72.7%
Original publication
Not all healthcare inequities in diabetes are equal: a comparison of two medically underserved cohorts. BMJ Open Diabetes Res Care. Published 5 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →