Susan L. Ettner (Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA) Betsy L. Cadwell (Centers for Disease Control and Prevention, Atlanta, GA, USA) Louise B. Russell (Department of Economics, Institute for Health, Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA) Arleen Brown (Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA) Andrew J. Karter (Division of Research, Kaiser Permanente, Oakland, CA, USA) Monika Safford (Deep South Center on Effectiveness, Birmingham VA Medical Center, University of Alabama at Birmingham, Birmingham, AL, USA) Carol Mangione (Division of General Internal Medicine and Health Services Research, Department of Medicine, University of California Los Angeles, Los Angeles, CA, USA) Gloria Beckles (Centers for Disease Control and Prevention, Atlanta, GA, USA) William H. Herman (The University of Michigan Health System, Ann Arbor, MI, USA) Theodore J. Thompson (Centers for Disease Control and Prevention, Atlanta, GA, USA)
Abstract
Background: Research on self-care for chronic disease has not examined time requirements. Translating Research into Action for Diabetes (TRIAD), a multi-site study of managed care patients with diabetes, is among the first to assess self-care time.
Objective: To examine associations between socioeconomic position and extra time patients spend on foot care, shopping|cooking, and exercise due to diabetes.
Data: Eleven thousand nine hundred and twenty-seven patient surveys from 2000 to 2001.
Methods: Bayesian two-part models were used to estimate associations of self-reported extra time spent on self-care with race|ethnicity, education, and income, controlling for demographic and clinical characteristics.
Results: Proportions of patients spending no extra time on foot care, shopping|cooking, and exercise were, respectively, 37, 52, and 31%. Extra time spent on foot care and shopping|cooking was greater among racial|ethnic minorities, less-educated and lower-income patients. For example, African-Americans were about 10 percentage points more likely to report spending extra time on foot care than whites and extra time spent was about 3 min more per day.
If you experience problems downloading a file, check if you have the
proper application to
view it first. Information about this may be contained
in the File-Format links below. In case of further problems read
the IDEAS help
page. Note that these files are not on the IDEAS
site. Please be patient as the files may be large.
Publisher Info
Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.
For technical questions regarding this item, or to correct its listing, contact: (Christopher F. Baum).
Related research
Keywords:
Other versions of this item:
References listed on IDEAS Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.: