Early and later onset type 2 diabetes in uninsured patients: clinical and behavioral differences.

Abstract:

OBJECTIVE:The national burden of type 2 diabetes mellitus (T2DM) is increasing rapidly. This study investigated a) clinical differences between early onset and later onset T2DM; and b) if specific risk factors were associated with age at diagnosis or clinical outcomes among uninsured adults in a large urban setting. METHODS:We compared 417 adults diagnosed under age 30 with 968 adults diagnosed ages 50-58 on clinical and social measures using standard parametric tests. RESULTS:Early onset patients had higher hemoglobin A1c, were more likely to smoke and to be depressed, and had more emergency department visits. Insulin monotherapy was more common in early onset patients (32% vs. 11%). Complications were already present in 11% of early onset patients and 29% of later onset patients within one year of diagnosis. CONCLUSION:Early onset patients had more acute beta-cell failure and coped less well with their diabetes. It is crucial to expand specialized diabetes resources for young, medically indigent patients.

authors

Smith TL,Drum ML,Miernik J,Fogelfeld LA,Lipton RB

doi

10.1353/hpu.0.0072

subject

Has Abstract

pub_date

2008-11-01 00:00:00

pages

1119-35

issue

4

eissn

1049-2089

issn

1548-6869

pii

S1548686908400050

journal_volume

19

pub_type

杂志文章
  • Impact of perceived racial discrimination on health screening in black women.

    abstract::Perceived discrimination has been shown to be related to health screening behavior. The present study examines the effect of discrimination on cancer screening among women in the Black Women's Health Study. Five self-report items measured discrimination in everyday life and three items measured experiences of major di...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0273

    authors: Mouton CP,Carter-Nolan PL,Makambi KH,Taylor TR,Palmer JR,Rosenberg L,Adams-Campbell LL

    更新日期:2010-02-01 00:00:00

  • A Pediatric Profile of a Homeless Patient in San Jose, California.

    abstract::The causes of homelessness are complex and poorly understood. This paper describes the homeless population in Santa Clara County, California in terms of Adverse Childhood Events, Traumatic Brain Injuries (TBIs), and family breakdown. Respondents reported severely traumatic childhoods; 78.7% grew up in a household with...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2017.0041

    authors: Bymaster A,Chung J,Banke A,Choi HJ,Laird C

    更新日期:2017-01-01 00:00:00

  • Nganampa Health Council Dental Program: Remote Dentistry in the Australian Desert--Partnership or Perish.

    abstract::The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0037

    authors: Wooley S

    更新日期:2016-02-01 00:00:00

  • Surveying Tenants of Permanent Supportive Housing in Skid Row about COVID-19.

    abstract::Permanent supportive housing (PSH) enrolls highly vulnerable homeless adults who experience early onset of geriatric conditions and require in-home support. Thus, there is potentially a high risk for COVID-19 within PSH, which may require tenants to take protective measures. This study reports on survey results collec...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0120

    authors: Henwood BF,Redline B,Lahey J

    更新日期:2020-01-01 00:00:00

  • Burden of Chronic Conditions among Patients from Free Clinics: A Retrospective Chart Review of 2015.

    abstract:INTRODUCTION:There is limited research about the poor and uninsured patients who visit free clinics. METHODS:We conducted a retrospective chart review of uninsured adult patients in four free clinics seen between January and December 2015. Prevalence of chronic conditions and their association with socioeconomic facto...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0076

    authors: Rahman S,Mirza AS,Stenback J,Green S,Mayers Y,Iranmanesh E,Pribish A,Islam S,Woodard L

    更新日期:2018-01-01 00:00:00

  • Saving rural health care: strategies and solutions.

    abstract::Health care for rural populations has been threatened in recent years by a significant number of hospital closures and a scarcity of primary care providers. While some factors that influence hospital closures lie beyond the reach of individual facilities, others, such as low occupancy rates and poor management, can an...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 社论

    doi:10.1353/hpu.2010.0123

    authors: Johnson LW

    更新日期:1994-01-01 00:00:00

  • Universal health insurance for children.

    abstract::Large and increasing numbers of Americans lack health insurance. While children have recently fared better than adults, millions still lack coverage, and thus experience difficulty obtaining acute and preventive care during a critical period of growth and development. This situation has both short and long-term social...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0114

    authors: Hughes D,Kreger M,Sabherwal S,Powell D,Sargent K

    更新日期:2009-02-01 00:00:00

  • Shaping the Jail Inreach Project: program evaluation as a quality improvement measure to inform programmatic decision making and improve outcomes.

    abstract::The Jail Inreach Project was initiated in 2007 as a pilot program by Healthcare for the Homeless-Houston, an FQHC serving homeless individuals in Harris County, Texas, as a collaborative effort with the Harris County Sheriff's Office and the Mental Health Mental Retardation Authority of Harris County. It addresses the...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0063

    authors: Brown CA,Hickey JS,Buck DS

    更新日期:2013-05-01 00:00:00

  • Daasachchuchik: A Trauma-Informed Approach to Developing a Chronic Illness Self-Management Program for the Apsáalooke People.

    abstract::In Montana, American Indians with chronic illnesses (CIs) die 20 years earlier than their White counterparts highlighting an urgent need to develop culturally consonant CI self-management programs. Historical and current trauma places Indigenous peoples at increased health risk relative to others, and negatively influ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0073

    authors: Schure M,Allen S,Trottier C,McCormick A,Medicine LO,Castille D,Held S

    更新日期:2020-01-01 00:00:00

  • Validity of postpartum depression screening across socioeconomic groups: a review of the construct and common screening tools.

    abstract::This integrative literature review evaluates the construct validity and potential for bias of commonly used postpartum depression screening tools in women with low socioeconomic status. Multiple search strategies were applied to identify literature addressing the validity of the Beck Depression Inventory, Center for E...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,评审

    doi:10.1353/hpu.2012.0163

    authors: King PA

    更新日期:2012-11-01 00:00:00

  • Students who participate in a student-run free health clinic need education about access to care issues.

    abstract::We surveyed first-year medical students about preparedness for work at student-run clinics, and for addressing patients' access to care, and social issues. Most students did not know how to get uninsured patients ongoing care or medications outside of the student-run clinic. A large majority of students desired an ori...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0225

    authors: Simmons BB,DeJoseph D,Diamond J,Weinstein L

    更新日期:2009-11-01 00:00:00

  • Race/ethnicity and the socioeconomic status gradient in women's cancer screening utilization: a case of diminishing returns?

    abstract::Using three years (2006, 2008, 2010) of nationally representative data from the Behavioral Risk Factor Surveillance System, I assessed the socioeconomic status (SES) gradient for odds of receiving a mammogram in the past two years and a Pap test in the past three years among White, Black, Hispanic, and Asian women liv...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0050

    authors: Monnat SM

    更新日期:2014-02-01 00:00:00

  • Socioeconomic Status and Mock Interview Performance among Prospective Medical School Applicants.

    abstract::We aim to evaluate the association between family income and mock multiple mini interview (MMI) performance for prospective medical school applicants. Each applicant participated in a three-station mock MMI and were scored on four items, each on a sevenpoint scale. Of the 48 prospective applicants participating, 29 (6...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0011

    authors: Burton BN,Labastide AS,Muhoozi BN,Lopez-Ramos CG,Anders AT,Garcia K,Gabriel RA,Willies-Jacobo L

    更新日期:2020-01-01 00:00:00

  • Ethics of clear health communication: applying the CLEAN Look approach to communicate biobanking information for cancer research.

    abstract::Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. I...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0192

    authors: Koskan A,Arevalo M,Gwede CK,Quinn GP,Noel-Thomas SA,Luque JS,Wells KJ,Meade CD

    更新日期:2012-11-01 00:00:00

  • The costs and adequacy of safety net access for the uninsured in Genesee County, Michigan.

    abstract::This commentary examines Genesee County (Flint) Michigan to explore whether a well-structured safety net system is able to provide low-income uninsured people adequate access to care at a reasonable cost. Genessee County is one of the more economically challenged communities in the country. This commentary explores th...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 评论,杂志文章

    doi:10.1353/hpu.2012.0025

    authors: Hall MA,Hamacher L,Johnson JM

    更新日期:2012-02-01 00:00:00

  • Disparities in breast cancer treatment among American Indian, Hispanic and non-Hispanic White Women Enrolled in Medicare.

    abstract::Because racial/ethnic disparities in breast cancer survival have persisted, we investigated differences in breast cancer treatment among American Indian, Hispanic, and non-Hispanic White (NHW) women. Surveillance, Epidemiology and End Results data linked to Medicare claims in New Mexico and Arizona (1987-1997) among e...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0071

    authors: Wilson RT,Adams-Cameron M,Burhansstipanov L,Roubidoux MA,Cobb N,Lynch CF,Edwards BK

    更新日期:2007-08-01 00:00:00

  • Primary Care in Cuba: Considerations for the U.S.

    abstract::In 2017, we traveled to Cuba to learn about the nation's approach to health care. Despite being a developing nation, Cuba boasts health care indicators that are comparable to those of the United States and other developed nations. Emphasizing prevention and proactive care, the Cuban health care system provides lessons...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0041

    authors: Bhardwaj N,Skinner D

    更新日期:2019-01-01 00:00:00

  • Extending Medicare immunosuppressive medication coverage.

    abstract::African Americans and the poor are at a high risk of suffering from kidney disease and are at an extreme disadvantage when it comes to obtaining the resources needed to maintain a functioning kidney post-transplant. Medicare currently covers 80% of the cost of immunosuppressive therapy for up to three years following ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0021

    authors: Beaubrun AC

    更新日期:2012-02-01 00:00:00

  • Women's receptivity to church-based mobile mammography.

    abstract::Mobile mammography can increase access to preventive screening and might be effective in church-based settings. Among 1,117 women ages 50 to 80 from 45 Los Angeles County churches, 31.7 percent said they would definitely use a mobile van at church, 21.9 percent would probably use one, 28.7 percent would probably not u...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0648

    authors: Derose KP,Duan N,Fox SA

    更新日期:2002-05-01 00:00:00

  • The Relationship between Patient-Centered Medical Home Characteristics and Patient Dissatisfaction at a Federally Qualified Health Center.

    abstract::This cross-sectional study examined the relationship between patients' assessment of patient-centered medical home (PCMH) characteristics and patient experiences at a federally qualified health center. The survey was based on the Consumer Assessment of Health care Providers and Systems (CAHPS) instrument. Patient-cent...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0100

    authors: Platonova EA,Warren-Findlow J,Paul R

    更新日期:2020-01-01 00:00:00

  • Targeting needs of the underserved: current programs in Tennessee.

    abstract::Health care needs of indigents are a major force driving the need for health care reform in the U.S. Governor McWherter of Tennessee and his Administration have highlighted the need for available, affordable, and accessible health care services for all Tennesseans and especially for the medically indigent. This paper ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0476

    authors: Light RT

    更新日期:1993-01-01 00:00:00

  • How Should We Treat the Vulnerable?: Qualitative Study of Authoritative Ethics Documents.

    abstract::The aim of this study is to explore what actual guidance is provided by authoritative ethics documents regarding the recognition and protection of the vulnerable. The documents included in this analysis are the Belmont Report, the Declaration of Helsinki, The Council for International Organizations of Medical Sciences...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0154

    authors: Zagorac I

    更新日期:2016-01-01 00:00:00

  • Disparities in adherence to hypertensive care in urban ambulatory settings.

    abstract::Nationally, a higher proportion of the medically underserved than of the general population suffer from hypertension. Poorer adherence to recommended therapies (including medication regimens, salt intake reduction, and regular visits with provider) has been linked to poorer blood pressure control. To identify whether ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0259

    authors: Ndumele CD,Shaykevich S,Williams D,Hicks LS

    更新日期:2010-02-01 00:00:00

  • U.S. Associated Pacific Islands Health Care Teams Chart a Course for Improved Health Systems: Implementation and Evaluation of a Non-communicable Disease Collaborative Model.

    abstract::The burden of non-communicable disease (NCD) is increasing in the U.S. Associated Pacific Islands (USAPI). We describe the implementation and evaluation of a NCD Collaborative pilot, using local trainers, as an evidence-based strategy to systematically strengthen NCD health care quality and outcomes, focusing on diabe...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0187

    authors: Hosey GM,Rengiil A,Maddison R,Agapito AU,Lippwe K,Wally OD,Agapito DD,Seremai J,Primo S,Luther XN,Ikerdeu E,Satterfield D

    更新日期:2016-01-01 00:00:00

  • Correlates of HIV Risk-taking Behaviors among African-American College Students: HIV Knowledge and Ethnic Identity.

    abstract::We examined ethnic identity in relation to hazardous alcohol use, illicit drug use, and risky sexual behavior in 266 college students recruited on the campus of a historically Black college/university (HBCU). Participants were primarily African American students participating in HIV education and prevention outreach e...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2017.0058

    authors: Heads AM,Dickson JW,Asby AT

    更新日期:2017-01-01 00:00:00

  • Does continuity of care have an effect on diabetes quality measures in a teaching practice in an urban underserved community?

    abstract::Teaching clinics are an important source of care for urban, minority, underserved communities and face great challenges to improve quality of care for diabetics. This study examined the impact of continuity with the same primary care provider on health care process and outcome measures for patients with diabetes treat...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0193

    authors: Younge R,Jani B,Rosenthal D,Lin SX

    更新日期:2012-11-01 00:00:00

  • Racism and Oral Health Outcomes among Pregnant Canadian Aboriginal Women.

    abstract::This study assessed links between racism and oral health outcomes among pregnant Canadian Aboriginal women. Baseline data were analyzed for 541 First Nations (94.6%) and Métis (5.4%) women in an early childhood caries preventive trial conducted in urban and on-reserve communities in Ontario and Manitoba. One-third of ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0030

    authors: Lawrence HP,Cidro J,Isaac-Mann S,Peressini S,Maar M,Schroth RJ,Gordon JN,Hoffman-Goetz L,Broughton JR,Jamieson L

    更新日期:2016-01-01 00:00:00

  • Undocumented Latino Immigrants and Research: New Challenges in Changing Times.

    abstract::Latinos are the largest immigrant group in the United States, representing 17.6% of the total U.S. population, and are therefore critical to include in research. However, Latino immigrants-and particularly those who are undocumented residents-may be increasingly wary of participating in research amidst hostile anti-im...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0048

    authors: Doran KM,Castelblanco DG,Mijanovich T

    更新日期:2018-01-01 00:00:00

  • Increasing obstetrical care access to the rural poor.

    abstract::Rising malpractice insurance rates have led to a decrease in the number of physicians who provide rural obstetrical care. North Carolina has responded with the Rural Obstetrical Care Incentive (ROCI) Program, which provides up to $6,500 per year to physicians who provide obstetrical care to the rural poor in conjuncti...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0107

    authors: Taylor DH Jr,Ricketts TC 3rd

    更新日期:1993-01-01 00:00:00

  • Prevalence of HCV risk behaviors among prison inmates: tattooing and injection drug use.

    abstract::Hepatitis C virus (HCV) is the most common blood-borne chronic viral infection in the United States and it is over represented in incarcerated populations. This study estimates if in prison tattooing is associated with self reported HCV infection in a probabilistic sample of 1,331 sentenced inmates in Puerto Rico pris...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0084

    authors: Peña-Orellana M,Hernández-Viver A,Caraballo-Correa G,Albizu-García CE

    更新日期:2011-08-01 00:00:00