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患有糖尿病的非裔美国人和拉丁裔中的日常歧视、糖尿病相关困扰及抑郁症状

Everyday discrimination, diabetes-related distress, and depressive symptoms among African Americans and Latinos with diabetes.

作者信息

LeBron Alana M W, Valerio Melissa A, Kieffer Edith, Sinco Brandy, Rosland Ann-Marie, Hawkins Jaclynn, Espitia Nicolaus, Palmisano Gloria, Spencer Michael

机构信息

Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA,

出版信息

J Immigr Minor Health. 2014 Dec;16(6):1208-16. doi: 10.1007/s10903-013-9843-3.

Abstract

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.

摘要

目前尚不清楚歧视如何影响糖尿病相关困扰(DRD),而DRD是糖尿病预后的一个重要相关因素。我们研究了非洲裔美国人和拉丁裔2型糖尿病患者中歧视的相关因素以及歧视对DRD和抑郁症状(DS)的影响。我们分析了在纳入糖尿病管理干预措施时收集的调查数据(n = 157)。使用多元线性回归,我们研究了歧视的相关因素以及歧视与DRD和DS之间的关联。对于拉丁裔,歧视与更高的DRD显著相关(b 1.58,95% CI 1.08,2.31,p < 0.05),但对于非洲裔美国人则不显著(b 0.96,95% CI 0.59,1.57)。对于拉丁裔,歧视与更多的DS存在边缘显著关联(b 1.43,95% CI 0.97,2.12,p < 0.10),但对于非洲裔美国人则不显著(b 1.21,95% CI 0.87,1.70)。这些发现表明需要解决种族/族裔少数群体特有的压力源,以改善糖尿病相关预后。

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