TY - JOUR A2 - Jia, Weiping AU - Yu, Margaret K. AU - Lyles, Courtney Rees AU - Bent-Shaw, Luis A. AU - Young, Bessie A. PY - 2013 DA - 2013/03/31 TI - Sex Disparities in Diabetes Process of Care Measures and Self-Care in High-Risk Patients SP - 575814 VL - 2013 AB - Patients with chronic diabetic complications experience high morbidity and mortality. Sex disparities in modifiable factors such as processes of care or self-care activities have not been explored in detail, particularly in these high-risk patients. Sex differences in processes of care and self-care activities were assessed in a cross-sectional analysis of the Pathways Study, an observational cohort of primary care diabetic patients from a managed care organization (N=4,839). Compared to men, women had decreased odds of dyslipidemia screening (adjusted odds ratio (AOR) 0.73, 95% CI 0.62–0.85), reaching low-density lipoprotein goal (AOR 0.70, 95% CI 0.58–0.86), and statin use (AOR 0.69, 95% CI 0.58–0.81); women had 19% greater odds of reaching hemoglobin A1c <7% (95% CI 1.02–1.41). There were no sex differences in hemoglobin A1c testing, microalbuminuria screening, or angiotensin-converting enzyme inhibitor use. Women were less likely to report regular exercise but had better adherence to healthy diet, glucose monitoring, and self-foot examination compared to men. Patterns of sex differences were consistent in subjects with diabetic complications. Significant sex disparities exist in diabetes process of care measures and self-care, even amongst patients known to have chronic diabetic complications. SN - 2314-6745 UR - https://doi.org/10.1155/2013/575814 DO - 10.1155/2013/575814 JF - Journal of Diabetes Research PB - Hindawi Publishing Corporation KW - ER -