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J Immigr Minor Health. 2016 Oct;18(5):1247-52. doi: 10.1007/s10903-015-0254-5.

Migration, Health Care Behaviors, and Primary Care for Rural Latinos with Diabetes.

Author information

1
Department of Family Medicine, David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA, 90024, USA. gemoreno@mednet.ucla.edu.
2
School of Medicine, University of Washington, Seattle, WA, USA.
3
Livingston Health Centers, Inc., Livingston, CA, USA.
4
Community Health Centers, Inc., Stockton, CA, USA.
5
University of California Davis, Davis, CA, USA.
6
Division of Health Services Research and General Internal Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
7
Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.

Abstract

Many US Latinos migrate or travel between the US and Mexico on a regular basis, defined as circular migration. Latinos with diabetes (n = 250) were surveyed about circular migration and their ability to use medications and perform recommended diabetes self-care activities. A review of medical charts was performed. Twenty-eight percent (n = 70) of patients traveled to Mexico during the last 12 months. Older Latinos were more likely to report traveling to Mexico and back into the US. Among those that traveled, 29 % reported use of less medication than they wanted to or were prescribed because of travel and 20 % ran out of medications. The rate of reported problem areas while traveling were 39 % (27/70) for following a diabetic diet, 31 % (21/70) for taking medication, and 37 % (26/70) for glucose self-monitoring. The results suggest that the structure of primary care and care coordination are important for this population to fully engage in diabetes self-care.

KEYWORDS:

Bi-national healthcare; Diabetes; Latinos; Migration

PMID:
26195289
PMCID:
PMC4721941
DOI:
10.1007/s10903-015-0254-5
[Indexed for MEDLINE]
Free PMC Article

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