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Real-World Association of Insurance Status with Cardio-metabolic Risk for Hispanic/Latino Adults Living on the Central Coast of California

  • Ceara AxelrodEmail author
  • Wendy Bevier
  • Banruo Yang
  • Jenny Martinez
  • Jamie Creason
  • David Kerr
Original Paper

Abstract

The primary aim of this study was to evaluate cardio-metabolic burden by insurance status for Hispanic/Latino adults in Santa Barbara, CA. HbA1c, body mass index (BMI), and health insurance status were evaluated via community-based screenings. Cardiovascular (CV) risk was assessed using the Framingham Heart Study calculator and compared with a National Health and Nutrition Examination Survey background population. Of 593 participants (73% female, age 47.3 years (SD ± 15.2), 44.5% had no insurance or did not know if they had insurance. 16% had an HbA1c in the diabetes range, comprised of 9% self-reporting diabetes and 7% self-reporting no diabetes. 39% had an HbA1c in the prediabetes range. Elevated HbA1c was associated with significantly higher BMI (p = 0.003) and lack of health insurance (p = 0.031). 10-year CV risk was significantly higher than the general population (p < 0.001). This program identified a high burden of cardio-metabolic disease and uninsurance coverage in Hispanic/Latino adults in Santa Barbara.

Keywords

Health disparities Cardiovascular risk Type 2 diabetes Prediabetes Health insurance Latino Hispanic 

Notes

Acknowledgements

We gratefully acknowledge financial support from Cottage Health, the Towbes Foundation, and the Crawford Idema Foundation. We also thank all of the organizations who hosted MHS events and all staff who conducted the events, especially the Promotores de Salud, who were instrumental in allowing us to reach the local Hispanic/Latino community in a meaningful and culturally competent manner.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  1. 1.Sansum Diabetes Research InstituteSanta BarbaraUSA

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