ArticleJournal of immigrant and minority health2012
Food insecurity and low self-efficacy are associated with health care access barriers among Puerto-Ricans with type 2 diabetes.
Article in Journal of immigrant and minority health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Healthcare Service Utilisation Across Continuum of Care for Type 2 Diabetes Among Culturally and Linguistically Diverse Populations: A Systematic Review.International journal of environmental research and public health · 2025Pooled it
- Focusing attention on the important association between food insecurity and psychological distress: a systematic review and meta-analysis.BMC nutrition · 2024Pooled it
- Food insecurity is associated with greater difficulty accessing care among people living with HIV with or without comorbid non-communicable diseases in western Kenya.BMJ global health · 2024Trial
- Impact of a community health workers-led structured program on blood glucose control among latinos with type 2 diabetes: the DIALBEST trial.Diabetes care · 2015Trial
- COVID-19 pandemic-related healthcare interruptions and diabetes distress: a national study of US adults with diabetes.BMC public health · 2024Article
- Food Insecurity and Type 2 Diabetes Among Latinos: Examining Neighborhood Cohesion as a Protective Factor.Journal of racial and ethnic health disparities · 2023Article
- The relationship between political efficacy and self-rated health: An analysis of Mexican, Puerto Rican, and Cuban subgroups compared to non-Latinx whites in the United States.SSM - population health · 2023Article
- An integrated approach to address diabetes in the context of food insecurity: Delivering health study protocol.Contemporary clinical trials communications · 2023Article
- Differential Impact of Food Insecurity, Distress, and Stress on Self-care Behaviors and Glycemic Control Using Path Analysis.Journal of general internal medicine · 2019Article
- A Framework for Addressing Diabetes-Related Disparities in US Latino Populations.Journal of community health · 2019Review
- Pathways between food insecurity and glycaemic control in individuals with type 2 diabetes.Public health nutrition · 2018Article
- Transnational Mortality Comparisons Between Archipelago and Mainland Puerto Ricans.Journal of immigrant and minority health · 2017Article
- Food Insecurity and Diabetes in Developed Societies.Current diabetes reports · 2016Review
- Epidemiology of NAFLD and Type 2 Diabetes: Health Disparities Among Persons of Hispanic Origin.Current diabetes reports · 2015Review
- Assessing the relationship between neighborhood factors and diabetes related health outcomes and self-care behaviors.BMC health services research · 2015Article
- Effect of neighborhood factors on diabetes self-care behaviors in adults with type 2 diabetes.Diabetes research and clinical practice · 2014Article
- Effect of diabetes self-efficacy on glycemic control, medication adherence, self-care behaviors, and quality of life in a predominantly low-income, minority population.Ethnicity & disease · 2014Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
Racial/ethnic minorities are disproportionately affected by barriers to health care access and utilization. The primary objective was to test for an independent association between household food insecurity and health care access/utilization. In this cross-sectional survey, 211 Latinos (predominantly, Puerto-Ricans) with type 2 diabetes (T2D) were interviewed at their homes. Factor analyses identified four barriers for health care access/utilization: enabling factor, doctor access, medication access and forgetfulness. Multivariate logistic regression models examined the association between each of the barrier factors and food insecurity controlling for sociodemographic, cultural, psychosocial, and diabetes self-care variables. Higher food insecurity score was a risk factor for experiencing enabling factor (OR = 1.46; 95% CI = 1.17-1.82), medication access (OR = 1.26; 95 CI% = 1.06-1.50), and forgetfulness (OR = 1.22; 95 CI% = 1.04-1.43) barriers. Higher diabetes management self-efficacy was protective against all four barriers. Other variables associated with one or more barriers were health insurance, perceived health, depression, blood glucose, age and education. Findings suggest that addressing barriers such as food insecurity, low self-efficacy, lack of health insurance, and depression could potentially result in better health care access and utilization among low income Puerto-Ricans with T2D.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.