Evidence mapPaperPMID 42474381Full record

ArticleNursing research2026

Correlates of Glycemic Status Among American Indian Adults With Type 2 Diabetes in Rural Southeastern Oklahoma.

Tarah Nelson, Diana J Wilkie, Yingwei Yao, Richard Segal, Ashley DeVaughan Circles, William T Donahoo, R Turner Goins, Spero M Manson, Anatolia B Legaspi, Lisa Scarton

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Article in Nursing research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

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10 authors.

Funding

Medication Adherence and Cardio-Metabolic Control Indicators among Adult American Indians Receiving Tribal Health ServicesR01NR020386 · NINR · UNIVERSITY OF FLORIDA · 2024 to 2025
$956k
NINR NIH HHS R01 NR020386
6 · The paper itself

Abstract

backgroundElevated glycosylated hemoglobin (HbA1c) levels have been associated with an increased risk for type 2 diabetes (T2D) complications.

objectiveThe aim of this study was to examine the electronic health record (EHR) correlates of HbA1c levels among adults with T2D using Tribal health services.

methodEHR data from one Tribal health center were used for this study. Variables included driving distance to clinics, socioeconomic status, use of primary care and diabetes educators, age, sex, glycemic status, and HbA1c. Descriptive, bivariate and linear regression analyses were performed.

resultsNearly 40% of the 5,205 patients in the sample had HbA1c levels<7% in 2021. HbA1c in 2020 was a strong predictor of HbA1c in 2021. Older age was weakly associated with lower HbA1c. A lack of primary care visits or diabetes educator visits was associated with lower HbA1c, likely due to patients with lower HbA1c levels had less need for T2D-related primary care or diabetes educator visits. DISCUSSION: This study provided insight into factors associated with HbA1c levels that deserve further exploration, but it is important to note that factors included in social determinant of health frameworks specifically developed for Indigenous communities were not available in the EHR data set. Therefore, future studies are needed that examine Indigenous social determinants of health specific to the local community.

Indexed as

American Indian adultsrural healthtype 2 diabetes

Identifiers

PMID42474381
PMCPMC13390767

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.