Date of Conferral

1-1-2021

Degree

Ph.D.

School

Public Health

Advisor

Srikanta Banerjee

Abstract

The burden and complications of diabetes have been a public health concern and societal challenge for decades, and the rate of prevalence is projected to increase in the future. The study aims to examine the association between blood glucose monitoring, glycated hemoglobin test, and self-perceived health status among diabetic adults in the United States. Guided by the chronic care model, the study used data from the 2019 Behavioral Risk Factor Surveillance System to investigate diabetes management practices among diabetic adults in the United States. Quantitative and cross-sectional methods were used to assess the associations between diabetes management practices and self-perceived health status. Ordinal logistic regressions showed that the odds ratio of regular blood glucose monitoring [Exp (B) = 1.251, p < 0.05, 95% CI (1.160, 1.350)] and glycated hemoglobin tests (two times or more) [Exp (B) = .735, p < 0.05, 95% CI (.615, .878)] have statistically significant relationships with self-perceived health status. The moderation analysis showed a statistically significant association and direct interaction effect between race/ethnicity and blood glucose monitoring [B = .0076, p < 0.05, 95% CI (-.0009, .0144)]. The implications of social change from these results include a better understanding of how diabetes management practices impact self-perceived health status in reducing the prevalence and complications of the disease. Based on the results, people with diabetes who do not practice regular glucose monitoring can be targeted by health care professionals for effective diabetes management plans. Further studies are needed to evaluate the impact of glycated hemoglobin tests on the self-perception of health status among individuals with diabetes.

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