Evidence map›Paper›PMID 40815441›Full record

ArticleJournal of racial and ethnic health disparities2026

Influence of Language and Physician-Patient Racial Concordance on Diabetes Control: An Analysis of Consultations in California Clinics.

Miguel Ángel Fernández-Ortega, Lilia V Castro-Porras, Gustavo A Olaiz-Fernández, Elizabeth Gómez-Cabrera, Jesús Alonso Martínez-Ortiz, Andrea Fernanda Aguirre-Vázquez, Alejandra Chavez-Ciriaco, Félix J Vicuña de Anda, Elena G Gómez-Peña

Abstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Miguel Ángel Fernández-OrtegaCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico. miguelaf@comunidad.unam.mx.ORCID 0000-0001-5923-0255
Lilia V Castro-PorrasCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0000-0002-5180-8435
Gustavo A Olaiz-FernándezCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0000-0003-0152-989X
Elizabeth Gómez-CabreraCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0009-0001-7158-300X
Jesús Alonso Martínez-OrtizCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0009-0007-7449-804X
Andrea Fernanda Aguirre-VázquezCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0009-0008-9006-9103
Alejandra Chavez-CiriacoCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0009-0005-8415-748X
Félix J Vicuña de AndaCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.ORCID 0000-0002-0235-0341
Elena G Gómez-PeñaCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Universidad Nacional Autónoma de México, 12 Ciudad Universitaria, Edificio CIPPS-Sótano y Piso 2, Cto. Centro Cultural S/N, Coyoacán, 04510, Mexico City, Mexico.

Funding

Fundación Gonzalo Río Arronte S.654
6 · The paper itself

Abstract

objectiveTo compare the proportion of patients with diabetes under metabolic control in three health clinics attended by Mexican doctors vs. non-Mexican doctors.

methodsLongitudinal analytical study of three clinics in California in which data from 8979 consultations in 2023 were analyzed. Control of patients with diabetes was evaluated based on the nationality of the physician (Mexican/non-Mexican), the type of consultation (first-time or follow-up), and referrals to the Nephrology department. Frequency analysis and chi-square were performed to estimate the risk of the selected outcomes (uncontrolled diabetes or referral to the nephrology service), and the Hosmer and Lemeshow goodness-of-fit test was applied.

resultsBetter control was observed in consultations of patients with diabetes seen by Mexican physicians compared to non-Mexican physicians OR = 1.62 [1.42, 1.84]. Likewise, the percentage of patients referred to Nephrology was almost triple by non-Mexican physicians compared to Mexican physicians OR = 2.69 [1.84, 3.92].

conclusionsThe cultural and linguistic concordance between Mexican physicians and Spanish-speaking patients may contribute to improved diabetes control and could lead to greater engagement with primary care services among newly diagnosed diabetes patients.

Indexed as

Diabetes MellitusLanguageMexican AmericansPhysician-Patient RelationsReferral and ConsultationAdultAgedCaliforniaFemaleHumansLongitudinal StudiesMaleMiddle AgedCommunication barriersDiabetes mellitusHealth servicesHispanicsLanguageMigrants

Identifiers

PMID40815441
PMCPMC13546153

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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.