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Factors Associated with Reducing Diabetes-Related Disparities of Rural Latinos

Award Number: R15MD011663
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/21/2017
PERIOD OF PERFORMANCE END DATE: 10/29/2020

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Factors Associated with Reducing Diabetes-Related Disparities of Rural Latinos - ABSTRACT Factors Associated with Reducing Diabetes-Related Disparities of Rural Latinos We propose a research study that would greatly expand the opportunity for students to be involved in research, contribute to their knowledge about the healthcare service needs of rural populations, and stimulate research at our university about healthcare for minority ethnic/racial rural populations, especially rural Latinos. The proposed study addresses the problem of health disparities among rural populations as a whole, and among rural Latino residents specifically. The U.S. Latino population is growing at a rapid pace. As a group, they are at a high risk for developing diabetes. Compared to other groups, they have high percentages of overweight or obesity, which are among the risk factors associated with Type 2 diabetes (Centers for Disease Control and Prevention, 2014). The complications of diabetes are serious and costly to the patient and the healthcare system as a whole. To date, little is known about the potential impact of Accountable Care Organizations (ACOs) on ethnic/racial disparities in healthcare (Pollack & Armstrong, 2011). Knowing how ACOs affect these disparities is particularly essential because some minority groups, such as Latinos, African Americans, and Native Americans, are more concentrated in rural areas (Institute of Medicine, 2005). We propose a longitudinal study, the purpose of which is to: 1) compare health disparities and patient outcomes of rural Latino older adult patients diagnosed with diabetes to their non-Latino White counterparts, and 2) ascertain the impact of ACO participation by rural primary care providers (along with other factors) on rural Latino older adult patients. The study has two goals: Aim 1: To measure the disparities in diabetes-related hospitalization rates between rural Latino older adult patients of Medicare ACOs and rural non-Latino White older adult patients, and Aim 2: To identify factors related to reduced disparities in diabetes-related hospitalization rates of rural Latino older adult patients, including RHC participation in a Medicare ACO. We will apply a pre-post design treating Medicare ACO participation as an intervention. The project will use data for a four-year period before the Medicare ACOs began (2008 - 2011) and a four-year period afterwards (2012 - 2015). The project will proceed in 3 major phases as follows: 1) collecting, merging, and organizing secondary data from multiple sources; 2) researching and constructing variables to include in the analyses; and 3) conducting univariate, bivariate, and multivariate analyses. The study will contribute to rural health research by adding to the knowledge about: 1) the factors that contribute to minimizing diabetes-related health disparities of rural Latino adults, 2) the diabetes preventive care effectiveness of ACOs, and 3) the types of ACOs most beneficial to rural Latino patients.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2021 ( Subtotal = -$3,560 )
2021	2017	UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES, THE	4000 CENTRAL FLORIDA BLVD	ORLANDO	FL	32816	ORANGE	USA	Minority Health and Health Disparities Research	000	1	10/23/2020	NEW	$0
2021	2017	UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES, THE	4000 CENTRAL FLORIDA BLVD	ORLANDO	FL	32816	ORANGE	USA	Minority Health and Health Disparities Research	001	1	5/25/2021	NEW	-$3,560
														Subtotal = -$3,560

Issue Date FY: 2017 ( Subtotal = $424,976 )
2017	2017	UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES, THE	4000 CNTRL FLORIDA BLVD	ORLANDO	FL	32816	ORANGE	USA	Minority Health and Health Disparities Research	000	1	8/21/2017	NEW	$424,976
														Subtotal = $424,976

Grand Total All Awards = $421,416

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Factors Associated with Reducing Diabetes-Related Disparities of Rural Latinos

Award Number: R15MD011663

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/21/2017

PERIOD OF PERFORMANCE END DATE: 10/29/2020

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