TY - JOUR
T1 - The association of depression and anxiety with glycemic control among Mexican Americans with diabetes living near the U.S.-Mexico border
AU - Kendzor, Darla E.
AU - Chen, Minxing
AU - Reininger, Belinda M.
AU - Businelle, Michael S.
AU - Stewart, Diana W.
AU - Fisher-Hoch, Susan P.
AU - Rentfro, Anne R.
AU - Wetter, David W.
AU - McCormick, Joseph B.
N1 - Funding Information:
We thank our cohort recruitment team, particularly Rocio Uribe, Elizabeth Braunstein and Julie Ramirez. We also thank Marcela Montemayor and other laboratory staff for their contributions, Gloria Sanchez and Pablo Sanchez for our database management and Christina Villarreal for administrative support. We thank Valley Baptist Medical Center, Brownsville for providing us space for our Center for Clinical and Translational Science Clinical Research Unit. We also thank the community of Brownsville and the participants who so willingly participated in this study in their city. This work was supported by MD000170 P20 funded from the National Center on Minority Health and Health Disparities (NCMHD), and the Centers for Clinical and Translational Science Award UL1 RR024148 from the National Center for Research Resources (NCRR). Manuscript preparation was supported, in part, by American Cancer Society grants MRSGT-10-104-01-CPHPS (awarded to DEK) and MRSGT-12-114-01-CPPB (awarded to MSB), National Cancer Institute Cancer Prevention Fellowship grant R25TCA57730 (awarded to DWS), and by the University of Texas MD Anderson Cancer Center Duncan Family Institute for Cancer Prevention and Risk Assessment faculty fellowship (awarded to DWS).
PY - 2014/2/18
Y1 - 2014/2/18
N2 - Background: The prevalence of diabetes is alarmingly high among Mexican American adults residing near the U.S.-Mexico border. Depression is also common among Mexican Americans with diabetes, and may have a negative influence on diabetes management. Thus, the purpose of the current study was to evaluate the associations of depression and anxiety with the behavioral management of diabetes and glycemic control among Mexican American adults living near the border. Methods. The characteristics of Mexican Americans with diabetes living in Brownsville, TX (N = 492) were compared by depression/anxiety status. Linear regression models were conducted to evaluate the associations of depression and anxiety with BMI, waist circumference, physical activity, fasting glucose, and glycated hemoglobin (HbA1c). Results: Participants with clinically significant depression and/or anxiety were of greater age, predominantly female, less educated, more likely to have been diagnosed with diabetes, and more likely to be taking diabetes medications than those without depression or anxiety. In addition, anxious participants were more likely than those without anxiety to have been born in Mexico and to prefer study assessments in Spanish rather than English. Greater depression and anxiety were associated with poorer behavioral management of diabetes (i.e., greater BMI and waist circumference; engaging in less physical activity) and poorer glycemic control (i.e., higher fasting glucose, HbA1c). Conclusions: Overall, depression and anxiety appear to be linked with poorer behavioral management of diabetes and glycemic control. Findings highlight the need for comprehensive interventions along the border which target depression and anxiety in conjunction with diabetes management.
AB - Background: The prevalence of diabetes is alarmingly high among Mexican American adults residing near the U.S.-Mexico border. Depression is also common among Mexican Americans with diabetes, and may have a negative influence on diabetes management. Thus, the purpose of the current study was to evaluate the associations of depression and anxiety with the behavioral management of diabetes and glycemic control among Mexican American adults living near the border. Methods. The characteristics of Mexican Americans with diabetes living in Brownsville, TX (N = 492) were compared by depression/anxiety status. Linear regression models were conducted to evaluate the associations of depression and anxiety with BMI, waist circumference, physical activity, fasting glucose, and glycated hemoglobin (HbA1c). Results: Participants with clinically significant depression and/or anxiety were of greater age, predominantly female, less educated, more likely to have been diagnosed with diabetes, and more likely to be taking diabetes medications than those without depression or anxiety. In addition, anxious participants were more likely than those without anxiety to have been born in Mexico and to prefer study assessments in Spanish rather than English. Greater depression and anxiety were associated with poorer behavioral management of diabetes (i.e., greater BMI and waist circumference; engaging in less physical activity) and poorer glycemic control (i.e., higher fasting glucose, HbA1c). Conclusions: Overall, depression and anxiety appear to be linked with poorer behavioral management of diabetes and glycemic control. Findings highlight the need for comprehensive interventions along the border which target depression and anxiety in conjunction with diabetes management.
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U2 - 10.1186/1471-2458-14-176
DO - 10.1186/1471-2458-14-176
M3 - Article
C2 - 24548487
AN - SCOPUS:84894682620
SN - 1471-2458
VL - 14
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 176
ER -