{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T20:11:23Z","timestamp":1791058283533,"version":"4.1.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Asian Americans are at elevated risk for poor diabetes outcomes, with substantial heterogeneity in disease burden across origin groups. Limited English proficiency (LEP) may further exacerbate disparities. Diabetes care plans are crucial drivers of a person\u2019s ability to engage in diabetes self-management, yet Asian Americans may have reduced access to care plans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association of race and ethnicity, and LEP with receiving a diabetes care plan, and whether LEP status modifies this association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>2013\u20132022 California Health Interview Survey data were used. Exposures were race and ethnicity, Asian origin groups, and LEP. The outcome of interest was receipt of a diabetes plan. Weighted multivariable logistic regressions were conducted to examine the mentioned association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 25,642 respondents, Koreans had the lowest rates of receiving a diabetes care plan compared to other Asian origin groups, among those with (42%) and without LEP (68%). Using the aggregate Asian grouping, Asian (vs. White) respondents had 40% (95% CI: 0.48\u20130.76) lower odds of receiving a plan, and respondents with (vs. without) LEP had 34% (95% CI: 0.52\u20130.83) lower odds of receiving a plan. Using disaggregated Asian origin groups, only Chinese respondents and respondents with LEP remained at lower odds of receiving a diabetes care plan (OR\u2009=\u20090.27, 95% CI: 0.19\u20130.40 and OR\u2009=\u20090.73, 95% CI: 0.59\u20130.89, respectively). Among those without LEP, Chinese respondents had 64% lower odds of receiving a plan (95% CI: 0.21\u20130.63) than Hispanic\/Latino respondents. Among those with LEP, both Chinese and Korean respondents remained at 77% (95% CI: 0.08\u20130.64) and 79% (95% CI: 0.06\u20130.76) lower odds of receiving a plan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Disaggregated analysis showed that Korean respondents with LEP were less likely to receive a care plan; however, Chinese respondents were less likely to have received a care plan, regardless of LEP status, suggesting the need to explore additional barriers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10274-0","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T17:59:46Z","timestamp":1772042386000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Associations of Race, Specific Asian Origin Grouping, and Limited English Proficiency with Receiving a Diabetes Care Plan Among Adults with Type 2 Diabetes: Data from the California Health Interview Survey"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4169-0824","authenticated-orcid":false,"given":"Loretta","family":"Hsueh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Layna","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milkie","family":"Vu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng-Han","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"10274_CR1","unstructured":"CDC. 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