{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T07:17:55Z","timestamp":1783581475817,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,11,29]],"date-time":"2012-11-29T00:00:00Z","timestamp":1354147200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2012,12]]},"abstract":"\n This study examined racial and ethnic differences in healthcare use, delayed care, and management of care of older adults with a self\u2010reported diagnosis of diabetes mellitus. Drawing on the 2009\n C<\/jats:styled-content>\n alifornia\n H<\/jats:styled-content>\n ealth\n I<\/jats:styled-content>\n nterview\n S<\/jats:styled-content>\n urvey (\n CHIS<\/jats:styled-content>\n ), the sample included 3,003 adults (representative of\n N<\/jats:styled-content>\n \u00a0=\u00a0998,795) aged 60 and older from five racial and ethnic groups: non\u2010Hispanic white (n\u00a0=\u00a02,153), African American (n\u00a0=\u00a0213), Hispanic (n\u00a0=\u00a0336), Asian (n\u00a0=\u00a0306), and American Indian and Alaska Native (\n AI<\/jats:styled-content>\n \/\n AN<\/jats:styled-content>\n ) (n\u00a0=\u00a059). All self\u2010reported a diagnosis of diabetes mellitus. Descriptive statistics and logistic regression analyses were conducted using weighted data. Results from adjusted logistic regressions indicated significant racial and ethnic differences between non\u2010Hispanic white elderly and the other groups examined. Specifically, African Americans were significantly less likely than whites to see a doctor and to have a usual source of care, and were more likely to visit the emergency department (\n ED<\/jats:styled-content>\n ) for diabetes mellitus and to have their feet examined by a provider. Hispanics were significantly less likely to take medicine to lower cholesterol but were more likely to test their blood glucose regularly (following\n ADA<\/jats:styled-content>\n guidelines). Asians were significantly less likely than whites to test their blood glucose regularly or have a foot examination.\n AI<\/jats:styled-content>\n \/\n AN<\/jats:styled-content>\n s were significantly less likely than whites to see a doctor, visit an\n ED<\/jats:styled-content>\n , and take medication to reduce heart attack risk but were more likely to use insulin, oral diabetic medication, or both. The findings suggest the need for racial\u2010 and ethnic\u2010specific interventions for managing diabetes mellitus to help reduce existing racial and ethnic disparities among elderly adults.\n <\/jats:p>","DOI":"10.1111\/jgs.12003","type":"journal-article","created":{"date-parts":[[2012,11,29]],"date-time":"2012-11-29T13:41:40Z","timestamp":1354196500000},"page":"2319-2325","source":"Crossref","is-referenced-by-count":47,"title":["Racial and Ethnic Disparities in Healthcare Use, Delayed Care, and Management of Diabetes Mellitus in Older Adults in California"],"prefix":"10.1111","volume":"60","author":[{"given":"Giyeon","family":"Kim","sequence":"first","affiliation":[{"name":"Center for Mental Health and Aging University of Alabama Tuscaloosa Alabama"},{"name":"Department of Psychology University of Alabama Tuscaloosa Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy L.","family":"Ford","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Alabama Tuscaloosa Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Chiriboga","sequence":"additional","affiliation":[{"name":"Department of Child and Family Studies University of South Florida Tampa Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dara H.","family":"Sorkin","sequence":"additional","affiliation":[{"name":"Health Policy Research Institute and the Department of General Internal Medicine University of California at Irvine Irvine California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,11,29]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and Prediabetes in the United States, 2011","author":"Centers for Disease Control and Prevention","year":"2011"},{"key":"e_1_2_6_3_1","volume-title":"National Healthcare Disparities Report, United States, 2010","author":"Agency for Healthcare Research and Quality","year":"2011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264312444309"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.17.1853"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2007.03.003"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000196821"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12126-010-9101-0"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.10.1288"},{"key":"e_1_2_6_10_1","first-page":"A142","article-title":"Racial and ethnic disparities in the quality of diabetes care in a nationally representative sample","volume":"8","author":"Richard P","year":"2011","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.phr.2004.05.002"},{"key":"e_1_2_6_12_1","unstructured":"California Health Interview Survey.CHIS data dictionary[on\u2010line].2009. 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