Minority Health Archive

Alcohol consumption and compliance among inner-city minority patients with type 2 diabetes mellitus.

Johnson, K H and Bazargan, M and Bing, E G (2000) Alcohol consumption and compliance among inner-city minority patients with type 2 diabetes mellitus. Archives of family medicine, 9 (10). pp. 964-970. ISSN 1063-3987

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Objective To examine the relation between alcohol consumption and self-reported compliance with prescribed therapies for type 2 diabetes mellitus among underserved minority patients. Design Cross-sectional sampling of consecutive patients with diabetes was performed following routine visits to their primary care physicians. Interviewers measured compliance using the Summary of Diabetes Self-Care Questionnaire and alcohol use using the timeline followback method and the Alcohol Use Disorders Identification Test. Setting Seven inner-city medical clinics that provide primary care services to low-income residents of South Central Los Angeles, Calif. Participants A total of 392 ethnic minority patients (61% Hispanic, 29% African American) with type 2 diabetes mellitus. Main Outcome Measures Self-report compliance with prescribed diet, exercise, home glucose monitoring, medications, and outpatient follow-up. Results Drinking any alcohol-containing beverage within 30 days was associated with poorer adherence to prescribed dietary recommendations for the consumption of fiber (t = 2.4; P<.05), fat (t = 4.2; P<.01), sweets (t = 2.7; P<.01), and energy (calories) (t = 2.0; P<.05). Drinkers were also less likely to exercise for at least 20 minutes per day (t = 2.2; P<.05), comply with oral medication regimens (t = 4.6; P<.01), or attend outpatient follow-up visits (r = -0.11; P<.05). Alcohol use did not significantly alter compliance with home glucose monitoring, insulin use, or hemoglobin A1c levels, although there was a trend toward higher hemoglobin A1c levels among drinkers (11.0 vs 10.4). Multivariate analysis of the data demonstrates that when demographic characteristics, health care utilization, and other diabetes-related variables are held constant, the relation between alcohol use and dietary compliance remained significant. Conclusion Alcohol consumption may be associated with poorer compliance with recommendations for some self-care behaviors among inner-city minority patients with diabetes.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Subjects: Health > Public Health > Chronic Illness & Diseases > Diabetes
Health > Public Health > Health Risk Factors > Alcohol
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 01 Aug 2011 22:00
Last Modified: 01 Aug 2011 22:00
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/2948

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