Journal of Immigrant and Minority Health

, Volume 14, Issue 6, pp 1052–1062 | Cite as

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
Original Paper


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.


Hispanic Diabetes Acculturation Border 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Nelda Mier
    • 1
  • Matthew Lee Smith
    • 2
    • 3
  • Genny Carrillo-Zuniga
    • 4
  • Xiaohui Wang
    • 5
  • Norma Garza
    • 6
  • Marcia G. Ory
    • 3
  1. 1.Department of Social and Behavioral Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  2. 2.Department of Health Promotion and Behavior, College of Public HealthThe University of GeorgiaAthensUSA
  3. 3.Department of Social and Behavioral Health, School of Rural Public HealthTexas A&M Health Science CenterCollege StationUSA
  4. 4.Department of Environmental and Occupational Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  5. 5.Department of MathematicsThe University of Texas Pan AmericanEdinburgUSA
  6. 6.Department of Health Policy and Management, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA

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