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Kenya S, Lebron CN, Chang AY, et al. A profile of Latinos with poorly controlled diabetes in South Florida. J Community Hosp Intern Med Perspect. 2015;5(2):26586doi: 10.3402/jchimp.v5.26586.
Kenya, S., Lebron, C. N., Chang, A. Y., Li, H., Alonzo, Y. A., & Carrasquillo, O. (2015). A profile of Latinos with poorly controlled diabetes in South Florida. Journal of community hospital internal medicine perspectives, 5(2), 26586. https://doi.org/10.3402/jchimp.v5.26586
Kenya, Sonjia, et al. "A profile of Latinos with poorly controlled diabetes in South Florida." Journal of community hospital internal medicine perspectives vol. 5,2 (2015): 26586. doi: https://doi.org/10.3402/jchimp.v5.26586
Kenya S, Lebron CN, Chang AY, Li H, Alonzo YA, Carrasquillo O. A profile of Latinos with poorly controlled diabetes in South Florida. J Community Hosp Intern Med Perspect. 2015 Apr 01;5(2):26586. doi: 10.3402/jchimp.v5.26586. eCollection 2015. PMID: 25846350; PMCID: PMC4387317.
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J Community Hosp Intern Med Perspect. 2015 Apr 01;5(2):26586. doi: 10.3402/jchimp.v5.26586. eCollection 2015.

A profile of Latinos with poorly controlled diabetes in South Florida.

Journal of community hospital internal medicine perspectives

Sonjia Kenya, Cynthia Nicole Lebron, Aileen Yu Hen Chang, Hua Li, Yisel A Alonzo, Olveen Carrasquillo

Affiliations

  1. Division of General Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA; [email protected].
  2. Jay Weiss Institute at Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  3. Division of General Internal Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.

PMID: 25846350 PMCID: PMC4387317 DOI: 10.3402/jchimp.v5.26586

Abstract

INTRODUCTION: Latinos are the largest minority group in the United States and diabetes or pre-diabetes affects more than 70% of Latinos aged 45 years and older. Miami-Dade County is home to one of the highest populations of diverse Latinos. In this descriptive manuscript, we present baseline characteristics of participants enrolled in the Miami Healthy Heart Initiative (MHHI). This was a study conducted to determine the effects of a community health worker (CHW) intervention among Latinos with poorly controlled diabetes in South Florida.

METHODS: We recruited 300 diverse Latino adults with suboptimal diabetes outcomes (HbA1c≥8) into MHHI. This randomized control trial examined the impact of a 1-year CHW-led intervention on glycemic control, blood pressure, and cholesterol levels. At baseline, physiologic measures, including HbA1c, LDL, blood pressure, and BMI, were assessed. Data on socio-demographic characteristics and additional determinants of health such as depression status, provider communication, diet, exercise, cigarette smoking, readiness to change diabetes management behaviors (stages of change), and confidence in ability to improve diabetes self-care (self-efficacy) were collected.

RESULTS: Participants came from 20 different countries, with Cuban Americans representing 38% of the sample. Most had lived in the US for more than 10 years, had completed at least 12 years of school, and had high levels of health literacy, yet 48% had very low acculturation. Nearly 80% had poor self-efficacy, 80% met the criteria for depression, and 83% were not adherent to their medications. More than half the population was not at their target for blood pressure, 50% were above the recommended LDL goal, and most were obese.

CONCLUSION: In a diverse population of Latinos with poorly controlled diabetes in Miami, we found high rates of depression, obesity, medication non-adherence, poor self-efficacy, and provider communication. These may contribute to poor diabetes control, high blood pressure, and elevated cholesterol.

Keywords: Hispanics with diabetes; South Florida; diabetes among Latinos; diabetes disparities

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