Rural-urban differences in uptake of diabetes self-management education among Medicare beneficiaries : Results from the 2016 to 2018 Medicare Current Beneficiary Survey
© 2021 National Rural Health Association..
PURPOSE: To assess rural-urban differences in participation rates of diabetes self-management education and associated factors among Medicare beneficiaries with type 2 diabetes (T2DM).
METHODS: Data were from the 2016 to 2018 Medicare Current Beneficiary Survey (MCBS). Participation in diabetes self-management education was self-reported. The study sample included 3,799 beneficiaries aged 65 years and older with self-reported T2DM. Logistic regression was used to assess the association of participation in diabetes self-management education and residential location. Sampling weights embedded in the MCBS were incorporated into all analyses.
FINDINGS: Overall, the participation rate of diabetes self-management education was 46.8% (95% CI: 44.4%-49.2%). The rate was 40.3% for beneficiaries in rural areas, 48.0% for suburban areas, and 47.3% for urban areas. About 31% of beneficiaries newly diagnosed with diabetes did not participate within the past year. Controlling for other covariates, beneficiaries in rural areas were less likely to have participated in diabetes self-management education (AOR = 0.73, 95% CI: 0.55-0.95) than those living in urban areas. Asian Americans were less likely to have participated (AOR = 0.49, 95% CI: 0.28-0.84) than Whites. Those who were older, with lower education, and lower income levels were less likely to have participated (P < .05).
CONCLUSIONS: Recent MCBS data indicate that more than half of Medicare beneficiaries with T2DM did not participate in diabetes self-management education, and the participation rate in rural areas was 7 percentage points lower than that in urban areas. The study findings highlight challenges to maximize the benefits of participating in diabetes self-management education, particularly in rural areas.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:38 |
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| Enthalten in: |
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association - 38(2022), 4 vom: 30. Sept., Seite 986-993 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Luo, Huabin [VerfasserIn] |
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| Links: |
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| Themen: |
Access to care |
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| Anmerkungen: |
Date Completed 23.09.2022 Date Revised 03.10.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jrh.12588 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM325304475 |
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| 500 | |a Date Revised 03.10.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021 National Rural Health Association. | ||
| 520 | |a PURPOSE: To assess rural-urban differences in participation rates of diabetes self-management education and associated factors among Medicare beneficiaries with type 2 diabetes (T2DM) | ||
| 520 | |a METHODS: Data were from the 2016 to 2018 Medicare Current Beneficiary Survey (MCBS). Participation in diabetes self-management education was self-reported. The study sample included 3,799 beneficiaries aged 65 years and older with self-reported T2DM. Logistic regression was used to assess the association of participation in diabetes self-management education and residential location. Sampling weights embedded in the MCBS were incorporated into all analyses | ||
| 520 | |a FINDINGS: Overall, the participation rate of diabetes self-management education was 46.8% (95% CI: 44.4%-49.2%). The rate was 40.3% for beneficiaries in rural areas, 48.0% for suburban areas, and 47.3% for urban areas. About 31% of beneficiaries newly diagnosed with diabetes did not participate within the past year. Controlling for other covariates, beneficiaries in rural areas were less likely to have participated in diabetes self-management education (AOR = 0.73, 95% CI: 0.55-0.95) than those living in urban areas. Asian Americans were less likely to have participated (AOR = 0.49, 95% CI: 0.28-0.84) than Whites. Those who were older, with lower education, and lower income levels were less likely to have participated (P < .05) | ||
| 520 | |a CONCLUSIONS: Recent MCBS data indicate that more than half of Medicare beneficiaries with T2DM did not participate in diabetes self-management education, and the participation rate in rural areas was 7 percentage points lower than that in urban areas. The study findings highlight challenges to maximize the benefits of participating in diabetes self-management education, particularly in rural areas | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a access to care | |
| 650 | 4 | |a diabetes | |
| 650 | 4 | |a rural-urban difference | |
| 650 | 4 | |a self-management education | |
| 700 | 1 | |a Basu, Rashmita |e verfasserin |4 aut | |
| 700 | 1 | |a Bell, Ronny A |e verfasserin |4 aut | |
| 700 | 1 | |a Rafferty, Ann P |e verfasserin |4 aut | |
| 700 | 1 | |a Zeng, Xiaoming |e verfasserin |4 aut | |
| 700 | 1 | |a Qu, Haiyan |e verfasserin |4 aut | |
| 700 | 1 | |a Dove, Cameron |e verfasserin |4 aut | |
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