Journal of Immigrant and Minority Health
Volume 18, Issue 5, 2016, Pages 1247-1252

Migration, Health Care Behaviors, and Primary Care for Rural Latinos with Diabetes (Article)

Moreno G.* , Morales L.S. , Batts F. , Noguera C. , Isiordia M. , Mangione C.M.
  • a Department of Family Medicine, David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA 90024, United States
  • b School of Medicine, University of Washington, Seattle, WA, United States
  • c Livingston Health Centers, Inc., Livingston, CA, United States
  • d Community Health Centers, Inc., Stockton, CA, United States
  • e University of California Davis, Davis, CA, United States
  • f Division of Health Services Research and General Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States, Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, United States

Abstract

Many US Latinos migrate or travel between the US and Mexico on a regular basis, defined as circular migration. Latinos with diabetes (n = 250) were surveyed about circular migration and their ability to use medications and perform recommended diabetes self-care activities. A review of medical charts was performed. Twenty-eight percent (n = 70) of patients traveled to Mexico during the last 12 months. Older Latinos were more likely to report traveling to Mexico and back into the US. Among those that traveled, 29 % reported use of less medication than they wanted to or were prescribed because of travel and 20 % ran out of medications. The rate of reported problem areas while traveling were 39 % (27/70) for following a diabetic diet, 31 % (21/70) for taking medication, and 37 % (26/70) for glucose self-monitoring. The results suggest that the structure of primary care and care coordination are important for this population to fully engage in diabetes self-care. © 2015, Springer Science+Business Media New York.

Author Keywords

Migration diabetes Latinos Bi-national healthcare

Index Keywords

antidiabetic agent human Health Behavior middle aged diabetes mellitus rural population diet medication compliance ethnology Mexico Cross-Sectional Studies Young Adult cross-sectional study Humans Hypoglycemic Agents Adolescent male female Socioeconomic Factors blood glucose monitoring socioeconomics Mexican American organization and management patient compliance adult migration age Age Factors patient attitude Blood Glucose Self-Monitoring Patient Acceptance of Health Care Transients and Migrants Self Care Medication Adherence primary health care Mexican Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84937604380&doi=10.1007%2fs10903-015-0254-5&partnerID=40&md5=3035ad3d5e07696b6863c5bc6e6fec0d
DOI: 10.1007/s10903-015-0254-5
ISSN: 15571912
Cited by: 1
Original Language: English