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Arleen F. Brown, MD, PhD, Robert B. Gerzoff, MS, Andrew J. Karter, PhD, Edward Gregg, PhD, Monika Safford, MD, Beth Waitzfelder, MA, Gloria L. A. Beckles, MD, MSc, Rebecca Brusuelas and Carol M. Mangione, MD, MSPH for the TRIAD Study Group

Arleen F. Brown, Rebecca Brusuelas, and Carol M. Mangione are with the David Geffen School of Medicine at the University of California, Los Angeles. Robert B. Gerzoff, Edward Gregg, and Gloria L. Beckles are with the Centers for Disease Control and Prevention, Atlanta, Ga. Andrew J. Karter is with the Division of Research, Kaiser Permanente, Oakland, Calif. Monika Safford is with the University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, NJ. Beth Waitzfelder is with the Pacific Health Research Institute, Honolulu, Hawaii.

Correspondence: Requests for reprints should be sent to Arleen F. Brown, MD, PhD, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 911 Broxton Plaza, Campus Box 951736, Los Angeles, CA 90095-1736 (e-mail: abrown{at}mednet.ucla.edu).

Objectives. We evaluated whether ethnicity and language are associated with diabetes care for Latinos in managed care.

Methods. Using data from 4685 individuals in the Translating Research Into Action for Diabetes (TRIAD) Study, a multicenter study of diabetes care in managed care, we constructed multivariate regression models to compare health behaviors, processes of care, and intermediate outcomes for Whites and English- and Spanish-speaking Latinos.

Results. Latinos had lower rates of self-monitoring of blood glucose and worse glycemic control than did Whites, higher rates of foot self-care and dilated-eye examinations, and comparable rates of other processes and intermediate outcomes of care.

Conclusions. Although self-management and quality of care are comparable for Latinos and Whites with diabetes, important ethnic disparities persist in the managed care settings studied.

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