Urmimala Sarkar|Lawrence Fisher|Dean Schillinger
Is Self-Efficacy Associated With Diabetes Self-Management Across Race/Ethnicity and Health Literacy?
University of California, San Francisco|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco
although prior research demonstrated improving diabetes selfefficacy improve selfmanagement behavior little known applicability research across raceethnicity health literacy levels examined relationship diabetes selfefficacy selfmanagement behavior urban diverse lowincome population high prevalence limited health literacywe administered oral questionnaire spanish english patients type 2 diabetes two primary care clinics public hospital measured selfefficacy health literacy selfmanagement behaviors using established instruments performed multivariate regressions explore associations selfefficacy selfmanagement adjusting clinical demographic factors tested interactions selfefficacy raceethnicity health literacy selfmanagementthe study participants ethnically diverse 18 asianpacific islander 25 african american 42 latinoa 15 white 52 limited health literacy short version test functional health literacy adults score 23 diabetes selfefficacy associated four five selfmanagement domains p 001 adjustment 10 increase selfefficacy score patients likely report optimal diet 014 day per week exercise 009 day per week selfmonitoring blood glucose odds ratio 116 foot care 122 medication adherence 110 p 040 associations selfefficacy selfmanagement consistent across raceethnicity health literacy levelsselfefficacy associated selfmanagement behaviors vulnerable population across raceethnicity health literacy levels however magnitude associations suggests among diverse populations study determinants barriers selfmanagement warranted policy efforts focused expanding reach selfmanagement interventions include ethnically diverse populations across spectrum health literacy