Kendzor Darla E, Chen Minxing, Reininger Belinda M, Businelle Michael S, Stewart Diana W, Fisher-Hoch Susan P, Rentfro Anne R, Wetter David W, McCormick Joseph B
School of Public Health, The University of Texas Health Science Center, Dallas, TX, USA.
BMC Public Health. 2014 Feb 18;14:176. doi: 10.1186/1471-2458-14-176.
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.
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).
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).
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.
居住在美国与墨西哥边境附近的墨西哥裔美国成年人中，糖尿病患病率高得惊人。抑郁症在患有糖尿病的墨西哥裔美国人中也很常见，并且可能对糖尿病管理产生负面影响。因此，本研究的目的是评估抑郁症和焦虑症与居住在边境附近的墨西哥裔美国成年人糖尿病行为管理及血糖控制之间的关联。
根据抑郁/焦虑状态比较了得克萨斯州布朗斯维尔市492名患有糖尿病的墨西哥裔美国人的特征。采用线性回归模型评估抑郁和焦虑与体重指数、腰围、身体活动、空腹血糖和糖化血红蛋白（HbA1c）之间的关联。
与没有抑郁或焦虑的参与者相比，患有临床显著抑郁和/或焦虑的参与者年龄更大，以女性为主，受教育程度更低，更有可能被诊断出患有糖尿病，也更有可能正在服用糖尿病药物。此外，焦虑的参与者比没有焦虑的参与者更有可能出生在墨西哥，并且更喜欢用西班牙语而不是英语进行研究评估。抑郁和焦虑程度越高，与糖尿病行为管理越差（即体重指数和腰围越大；身体活动越少）以及血糖控制越差（即空腹血糖、HbA1c越高）相关。
总体而言，抑郁和焦虑似乎与糖尿病行为管理及血糖控制较差有关。研究结果凸显了在边境地区开展综合干预措施的必要性，这些措施应在管理糖尿病的同时针对抑郁和焦虑。
