Personal and cultural influences on diabetes self-care behaviors among Older Hispanics born in the U.S. and Mexico

Nelda Mier, Matthew Lee Smith, Genny Carrillo-Zuniga, Xiaohui Wang, Norma Garza, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Older Hispanics are disproportionately affected by diabetes, but little is known about predictors of diabetes self-care among this group. This study compared the magnitude of three self-care behaviors (diet, physical activity (PA), and glucose monitoring) among older Hispanics with type 2 diabetes born in the United States (n = 59) to those born in Mexico (n = 179), and investigated the influence of personal and health indicators on each self-care behavior. Findings were based on data drawn from convenience sample data collected with a questionnaire. Self-care behaviors were moderately practiced (39.5-45.8 %) with no significant differences by nativity. Mexico-born seniors were less linguistically acculturated (P < 0.001). Being female (OR = 2.41) and PA levels (OR = 2.62) were significantly associated with diet. Being female (OR = 3.24), more educated (OR = 3.73), U.S.-born (OR = 2.84), and receiving diabetes education (OR = 3.67) were associated with PA. Diabetes education (OR = 2.41) was associated with glucose monitoring. Although acculturation influenced only PA and no other behaviors, personal and cultural factors require further investigation to design diabetes management strategies for Hispanic seniors at the border region.

Original languageEnglish (US)
Pages (from-to)1052-1062
Number of pages11
JournalJournal of Immigrant and Minority Health
Issue number6
StatePublished - Dec 2012


  • Acculturation
  • Border
  • Diabetes
  • Hispanic

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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