--- title: Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes description: May 2020 | Namino M. Glantz, Jessikah M. Morales, Wendy C. Bevier, Arianna Larez, Charis B. Hoppe, Ian Duncan, Andrew Mackenzie, and David Kerr --- Publication # Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes [ Arbital Health ](https://arbitalhealth.com/blog/author/arbital-health) May 4, 2020 [mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/insurance-status-and-biological-and-psychosocial-determinants-of-cardiometabolic-risk-among-mexican-origin-u.s.-hispanic/latino-adults-with-type-2-diabetes&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/insurance-status-and-biological-and-psychosocial-determinants-of-cardiometabolic-risk-among-mexican-origin-u.s.-hispanic/latino-adults-with-type-2-diabetes&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/insurance-status-and-biological-and-psychosocial-determinants-of-cardiometabolic-risk-among-mexican-origin-u.s.-hispanic/latino-adults-with-type-2-diabetes&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/insurance-status-and-biological-and-psychosocial-determinants-of-cardiometabolic-risk-among-mexican-origin-u.s.-hispanic/latino-adults-with-type-2-diabetes&utm_medium=social&utm_source=email) [Publication](https://arbitalhealth.com/blog/tag/publication) Published: May 4, 2020 Publisher: Mary Ann Liebert, Inc. By: Namino M. Glantz, Jessikah M. Morales, Wendy C. Bevier, Arianna Larez, Charis B. Hoppe, Ian Duncan, Andrew Mackenzie, and David Kerr   Abstract Purpose: Hispanics/Latinos in the United States bear higher burden of type 2 diabetes (T2D) and associated complications compared with the general population. Health insurance coverage is also lower in this population. We examined the association of health insurance with biological and psychosocial determinants of cardiometabolic risk among U.S. Mexican-origin Hispanic/Latino adults with T2D.   Methods: Participants were self-reported Hispanic/Latino adults with T2D diagnosis. Trained bilingual community health workers collected cross-sectional information on biological and psychosocial factors using clinical examinations, laboratory tests, validated questionnaires, and wearable activity monitors.   Results: One hundred and seven Hispanic/Latino adults (54±12 years, 65% female, 36% prescribed insulin, 60% uninsured) with T2D were enrolled. While 93% had low language-based acculturation, 88% had high health literacy in Spanish. Forty percent were food insecure and 47% expressed at least one social need. Overall, 35% had an HbA1c <7.0% (indicating good control) and 31% had an HbA1c >9.0%. Sixty-three percent had blood pressure within target (<130/80 mmHg), and overall participants were moderately physically active. However, 53% were obese (body mass index ≥30 kg/m2) and 76% had a waist measurement defined as high risk (>88 cm for women and >102 cm for men). Participants without health insurance were younger (51.9±10.4 vs. 58.8±10.5 years mean±standard deviation, p=0.0008) but had higher HbA1c (8.4±2.2% vs. 7.6±1.6, p=0.031) and fasting glucose (184.9±86.5 vs. 148.6±61.2 mg/dl, p=0.008) levels.   Conclusions: Health insurance status appears to influence achieved glycemic control for U.S. Hispanic/Latino adults with T2D. However, various psychosocial factors potentially influencing cardiometabolic risk independently of health insurance status may also be implicated in the inequitable burden of T2D. ClinicalTrials.gov Identifier: NCT03736486.   [ Read Full Publication ](https://www.liebertpub.com/doi/10.1089/heq.2019.0119)   ### View More News & Insights from the Arbital Health Team: Publication ### [Understanding the impact of five major determinants of health (genetics, biology, behavior, psychology, society/environment) on type 2 diabetes in U.S. Hispanic/Latino families](https://arbitalhealth.com/blog/understanding-the-impact-of-five-major-determinants-of-health-genetics-biology-behavior-psychology-society/environment-on-type-2-diabetes-in-u.s.-hispanic/latino-families) Arbital Health Jan 6, 2020 Publication ### [Racial and Ethnic Disparities in the Burden and Cost of Diabetes for US Medicare Beneficiaries](https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries) Arbital Health May 15, 2019 Publication ### [Population-Based Return on Investment of Deploying Transient Elastography](https://arbitalhealth.com/blog/population-based-return-on-investment-of-deploying-transient-elastography) Arbital Health May 28, 2021 ### Sign-Up for Arbital Health Email Updates Unlock a wealth of valuable insights and stay ahead of the curve with Arbital Health's exclusive email updates. 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