Prevalence of Quality of Care and Health Care Utilization Among Adults Age 20–64 Years With Diabetes, by Health Insurance Status and Race/Ethnicity, U.S., 2017–March 2020
| MEDICAL CARE | PERCENT (STANDARD ERROR) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Non-Hispanic White | Non-Hispanic Black | Hispanic | Mexican American* | Non-Hispanic Asian | ||||||
| Insurance Status | ||||||||||
| Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | |
| Have a usual doctor for diabetes care | 86.8 (4.9) | 40.9 (17.5)2 | 79.0 (2.8) | 45.7 (12.8) | 76.4 (4.1) | 44.3 (9.8) | 74.8 (4.0) | 42.6 (11.5) | 77.1 (4.7) | 94.3 (5.8) |
| Saw diabetes specialist in past year | 26.8 (6.7) | 3 | 33.0 (3.9) | 20.8 (8.9)2 | 30.5 (6.5) | 25.1 (8.2)1 | 26.9 (6.4) | 3 | 15.4 (6.2)2 | 42.6 (13.9) |
| Check blood glucose ≥1 time per day | 45.2 (6.2) | 3 | 47.4 (4.0) | 44.7 (8.9) | 47.7 (7.1) | 13.4 (4.6)1 | 49.3 (9.0) | 12.2 (5.5)2 | 33.2 (8.1) | 51.3 (12.8) |
| Routine place to go for health care | 97.5 (1.7) | 37.1 (16.7)2 | 94.7 (2.1) | 80.5 (9.9) | 94.8 (2.5) | 72.2 (7.0) | 92.5 (3.9) | 71.9 (8.2) | 86.6 (4.6) | 76.9 (12.2) |
| Seen doctor in past year | 99.0 (0.6) | 89.1 (7.8) | 97.0 (1.8) | 86.8 (6.5) | 96.0 (2.4) | 77.0 (6.2) | 94.1 (3.9) | 77.7 (7.4) | 98.9 (1.1) | 94.3 (5.8) |
| Overnight hospital stay in past year | 14.8 (4.2) | 3 | 14.8 (3.2) | 18.2 (8.8)2 | 23.9 (5.0) | 7.9 (3.4)2 | 17.9 (7.1)1 | 3 | 3 | 25.0 (9.5)1 |
| A1c checked in past year | ||||||||||
| Yes | 89.1 (3.6) | 44.0 (17.9)2 | 87.2 (2.1) | 52.1 (11.7) | 80.6 (3.6) | 58.4 (10.9) | 78.4 (5.1) | 55.6 (13.9) | 89.0 (2.7) | 94.3 (5.8) |
| No | 8.0 (2.9)1 | 56.0 (17.9)1 | 10.2 (2.9) | 47.9 (11.7) | 17.6 (3.5) | 36.4 (8.0) | 18.6 (4.9) | 37.5 (9.8) | 5.8 (1.6) | 3 |
| Number of times doctor checked for foot sores in past year | ||||||||||
| 0 | 23.2 (4.4) | 87.8 (6.1) | 31.2 (3.6) | 45.9 (10.8) | 32.2 (5.9) | 50.7 (8.8) | 34.7 (6.7) | 49.7 (10.3) | 34.1 (4.6) | 3 |
| 1–2 | 50.3 (3.6) | 3 | 38.0 (5.1) | 38.3 (9.6) | 39.9 (5.5) | 36.4 (10.0) | 35.8 (7.4) | 37.2 (11.7)1 | 46.1 (6.3) | 34.1 (14.3)2 |
| ≥3 | 26.4 (4.6) | 3 | 30.9 (4.3) | 15.8 (5.6)1 | 27.9 (4.5) | 13.0 (4.7)1 | 29.5 (5.8) | 13.1 (5.4)2 | 19.9 (5.5) | 40.2 (11.6) |
| Last time pupils dilated for eye exam (years) | ||||||||||
| <1 | 61.6 (5.0) | 29.6 (12.4)2 | 66.0 (4.4) | 48.4 (9.8) | 73.0 (5.3) | 30.8 (6.9) | 77.2 (7.6) | 30.3 (9.1)1 | 70.5 (5.6) | 43.8 (13.4) |
| 1–2 | 18.1 (2.5) | 3 | 14.9 (3.1) | 3 | 12.2 (3.6) | 15.1 (6.5)2 | 9.1 (3.7)2 | 3 | 16.3 (4.7) | 38.6 (14.1) |
| >2 | 14.9 (2.7) | 32.5 (15.4)2 | 12.4 (3.3) | 21.2 (6.9)1 | 8.3 (2.4) | 3 | 3 | 3 | 8.2 (2.6) | 3 |
| Never | 3 | 3 | 6.7 (2.5)1 | 3 | 6.5 (2.4)1 | 34.7 (8.2) | 7.4 (2.7)1 | 32.0 (8.5) | 4.9 (3.4) | 3 |
A1c, glycosylated hemoglobin.
Mexican American is a subset of Hispanic race/ethnicity.
Relative standard error >30%–40%
Relative standard error >40%–50%
Estimate is too unreliable to present; ≤1 case or >50% relative standard error.
SOURCE: National Health and Nutrition Examination Surveys 2017–March 2020
From: Health Insurance and Diabetes
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