Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes

被引:0
作者
Alana M. W. LeBron
Melissa A. Valerio
Edith Kieffer
Brandy Sinco
Ann-Marie Rosland
Jaclynn Hawkins
Nicolaus Espitia
Gloria Palmisano
Michael Spencer
机构
[1] University of Michigan School of Public Health,Department of Health Behavior and Health Education
[2] University of Texas School of Public Health-Houston,Department of Internal Medicine
[3] University of Michigan School of Social Work,undefined
[4] University of Michigan Health System,undefined
[5] Community Health and Social Services Center,undefined
[6] Inc.,undefined
来源
Journal of Immigrant and Minority Health | 2014年 / 16卷
关键词
African Americans; Latinos; Hispanics; Discrimination; Diabetes; Mental health; Diabetes-related distress; Depressive symptoms;
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摘要
It is not known how discrimination might affect diabetes-related distress (DRD), an important correlate of diabetes outcomes. We examined correlates of discrimination and the influence of discrimination on DRD and depressive symptoms (DS) for African Americans and Latinos with type 2 diabetes. We analyzed survey data (n = 157) collected at enrollment into a diabetes management intervention. Using multiple linear regression, we examined correlates of discrimination and the association between discrimination and DRD and DS. Discrimination was significantly associated with higher DRD for Latinos (b 1.58, 95 % CI 1.08, 2.31, p < 0.05), but not significant for African Americans (b 0.96, 95 % CI 0.59, 1.57). Discrimination was marginally significantly associated with more DS for Latinos (b 1.43, 95 % CI 0.97, 2.12, p < 0.10), but not significant for African Americans (b 1.21, 95 % CI 0.87, 1.70). These findings suggest the need to address stressors unique to racial/ethnic minorities to improve diabetes-related outcomes.
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页码:1208 / 1216
页数:8
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  • [1] Gee GC(2006)Self-reported discrimination and mental health status among African descendents, Mexican Americans, and other Latinos in the New Hampshire REACH 2010 initiative: the added dimension of immigration Am J Public Health 96 1821-1828
  • [2] Ryan A(2009)Discrimination and racial disparities in health: evidence and needed research J Behav Med 32 20-47
  • [3] Laflamme DJ(2003)Racial/ethnic discrimination and health: findings from community studies Am J Public Health 93 200-208
  • [4] Holt J(2006)Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population: National Health and Nutrition Examination Survey 1999–2002 Diabetes Care 29 1263-1268
  • [5] Williams DR(2008)Disparities in A1C levels between Hispanic and non-Hispanic White adults with diabetes Diabetes Care 31 240-246
  • [6] Mohammed SA(2006)Disparities in HbA1c levels between African-American and non-Hispanic White adults with diabetes Diabetes Care 29 2130-2136
  • [7] Williams DR(2007)Mechanisms for racial and ethnic disparities in glycemic control in middle-aged and older Americans in the Health and Retirement Study Arch Intern Med 167 1853-1860
  • [8] Neighbors HW(2009)A growing disparity in diabetes-related mortality: U.S. trends, 1989–2005 Am J Prev Med 36 2-163
  • [9] Jackson JS(2008)The effects of perceived discrimination on diabetes management J Health Care Poor Underserved 19 149-1292
  • [10] Cowie CC(2009)The association between perceived discrimination and obesity in a population-based multiracial and multiethnic adult sample Am J Public Health 99 1285-313