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Depression among Latinas with and without diabetes
Author(s) -
Fitzgerald Nurgul,
SeguraPerez Sofia,
Damio Grace,
PerezEscamilla Rafael
Publication year - 2007
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.21.5.a675-c
Subject(s) - medicine , diabetes mellitus , depression (economics) , odds ratio , body mass index , type 2 diabetes , gerontology , confidence interval , psychological intervention , demography , center for epidemiologic studies depression scale , population , coping (psychology) , meal , environmental health , psychiatry , depressive symptoms , endocrinology , sociology , economics , macroeconomics
We examined the associations of depression and other type 2 diabetes risk factors in an understudied Latina population at high risk for diabetes. This case‐control study was conducted in a convenience sample of 201 Latinas (n=100 with type 2 diabetes, 101 controls; 85% Puerto Rican), aged 35–60y, living in Hartford, CT. About 36% of the participants were high school graduates; 55% of the control group was classified to be at high risk for diabetes. By using the 20‐item Center for Epidemiologic Studies Depression Scale, 55% of the participants were classified to have depression symptoms; there was no significant between group (diabetes and control) difference. After adjusting for diabetes status, body mass index, and age, the likelihood of having depression was higher for Latinas who were food insecure (vs. food secure) odds ratio (OR) 3.37 (95% confidence interval 1.76–6.48), who skipped ≥1 main meal/week (vs. did not skip) OR 2.33 (1.06–5.13), who consumed soft drinks > median (vs.≤ median) OR 2.86 (1.43–5.74), and who were physically less active (≤median MET min/day vs. > median) OR 2.31 (1.19–4.48). In the diabetes group, coping with stress was one of the topics least taught by healthcare professionals. These results indicate the need to include depression as a part of diabetes prevention or management interventions in this Latina community. Funding: CT USDA‐FSNE; CT Latino NIH EXPORT Health Disparities Center (P20MD001765)