University of Connecticut, Storrs, CT 06269, USA.
J Immigr Minor Health. 2011 Dec;13(6):982-9. doi: 10.1007/s10903-011-9499-9.
Prevalence of depression is high among individuals with type 2 diabetes (T2D). The objective of the current study was to identify the socio-demographic, psychosocial, cultural, and clinical risk factors that predispose to depression, and resources that protect from depression among low income Latinos with T2D. Participants (N = 211) were interviewed in their homes upon enrollment. Multivariate logistic regression was used to identify factors associated with depressive symptoms based on a score of ≥21 on the Center for Epidemiological Studies Depression scale. Lower household income, interference of diabetes with daily activities, and more T2D clinical symptoms were associated with depression risk in the multivariate analyses. At each level of food insecurity the risk of depression was lower the higher the level of social support (P < 0.05). Findings suggest that social support buffers against the negative influence of household food insecurity on depression risk. A comprehensive approach is necessary to address the mental health needs of low income Latinos with T2D.
2 型糖尿病（T2D）患者中抑郁的患病率很高。本研究的目的是确定社会人口统计学、心理社会、文化和临床风险因素，这些因素易导致抑郁，以及资源，以防止低收入拉丁裔 T2D 患者抑郁。参与者（N=211）在登记时在家中接受访谈。基于流行病学研究抑郁量表得分≥21，多变量逻辑回归用于确定与抑郁症状相关的因素。在多变量分析中，家庭收入较低、糖尿病对日常活动的干扰以及更多的 T2D 临床症状与抑郁风险相关。在每个粮食不安全水平上，社会支持水平越高，抑郁风险越低（P<0.05）。研究结果表明，社会支持缓冲了家庭粮食不安全对抑郁风险的负面影响。需要采取综合方法来满足低收入拉丁裔 T2D 患者的心理健康需求。
