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American Public Health Association – Acculturation and Diabetes Risk in the Mexican American Mano a

1From the Programs in Nutrition, Simmons College, Boston (TTF); the Departments of Nutrition (TTF, FBH, MJS, and WCW) and Epidemiology (FBH, MJS, GAC, and WCW), Harvard School of Public Health, Boston; the Department of Pediatrics, Harvard Medical School, and the Department of Medicine, Children’s Hospital, Boston (MAP); and the Division of Preventive Medicine (SL) and the Channing Laboratory, Department of Medicine (FBH, MJS, GAC, and WCW), Brigham and Women’s Hospital, Harvard Medical School, Boston. PROCEDURE: The sample consisted of 303 adult African-American patients age 40 and over from a primary care clinic serving the low-income population in Nashville, TN. Almost one-third of the deaths were due to acute complications for which there is definitive medical therapy. Karter, Edward W. Case Reports highlight new diseases, novel presentations, and potential therapeutic strategies. The Diabetes Home Visitation Program. The…

A comprehensive elective in diabetes was created and implemented in the third-professional year of the PharmD curriculum. D. Lisa Dubay is with the Urban Institute, Washington, DC. Gabbay, MD, PhD, FACP, senior vice president and chief medical officer at Joslin Diabetes Center. Odds ratios and 95% confidence intervals were calculated using logistic regression, adjusting for age, body mass index at age 15 years, and parity. Although increasing prevalence of diabetes will lead to higher health system costs overall, more affordable access to prescription drugs and treatment may offset some of these costs if it allows people to avoid hospital stays and emergency department visits, the authors conclude. Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link.


C. E. Phillips, and Chandan K. Zhao, C. R. Daniel, X. Wu, and W.-H.

Chow collected data in the parent cohort study. By 2011, that number was 74%. Dong and K. Y. Elhor Gbito assisted in data quality control and analytic file preparation. W.-H. Chow also supervised the study.

J. Indeed, although getting care providers to adopt best practices in a timely fashion is nearly as hard as getting patients to comply with treatment regimens, the panelists believe that the move to replace service-based payments with outcomebased payments will motivate providers to adhere closer to best practices. We recruited 15 975 men and women in the Houston, Texas, area from 2001 to 2014. We used language use, birth country, and duration of US residence (among Mexico-born) to assess acculturation. Participants self-reported a physician’s diagnosis of diabetes during annual follow-up over an average of 5.4 (range = 1–13) years. Self-reported diabetes status was validated in medical records for a subset of 235 participants with 98% agreement. Results.

Miller-Kovach participated in study design. Neither language acculturation nor birth country was significantly associated with diabetes risk.

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