Does Gender Influence Participation? Predictors of Participation in a Community Health Worker Diabetes Management Intervention With African American and Latino Adults
Does Gender Influence Participation? Predictors of Participation in a Community Health Worker Diabetes Management Intervention With African American and Latino Adults
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DOI：
10.1177/0145721713492569
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发表时间：
2013-09-01
影响因子：
3.9
通讯作者：
Rosland, Ann-Marie
中科院分区：
文献类型：
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作者：
Hawkins, Jaclynn;Kieffer, Edith C.;Rosland, Ann-Marie
目的-这项研究的目的是确定性别对参与社区为基础的，文化上定制的糖尿病生活方式干预的影响，由训练有素的社区卫生工作者（CHW）和非裔美国人和拉丁美洲人与2型diabetes.Methods进行这项研究利用收集的数据从180名参与者。多变量二进制和累积Logistic回归模型被用来分析性别和种族/民族与研究完成和参与3个方面的干预：组类，CHW家访，和CHW陪同医生visits.Results之间的关联在拉丁美洲人，男性不太可能比女性完成研究，参加组类，并完成CHW家访。有没有性别差异的参与看到African American.Conclusions糖尿病管理干预措施可能需要调整他们的设计，以优化保留和参与拉丁美洲男子。在非裔美国人中，CHW模式可能是有希望的。拉丁裔男性参与率低的原因应该得到更多的研究。未来的研究应该评估类似的发现是否适用于其他社区和人群。
Purpose The purpose of the study was to determine the effects of gender on participation in a community-based, culturally tailored diabetes lifestyle intervention, led by trained community health workers (CHW) and conducted with African Americans and Latinos with type 2 diabetes.Methods This study utilized data collected from 180 participants. Multivariable binary and cumulative logistic regression models were used to analyze associations between gender and race/ethnicity with study completion and participation in 3 aspects of the intervention: group classes, CHW home visits, and CHW-accompanied doctor visits.Results Among Latinos, men were less likely than women to complete the study, attend group classes, and complete CHW home visits. There were no gender differences in participation seen among African Americans.Conclusions Diabetes management interventions may need to adapt their designs to optimize retention and participation of Latino men. Among African American men, the CHW model may be promising. Reasons for low participation among Latino men should receive more study. Future studies should assess whether similar findings apply in other communities and populations.