Hawkins Jaclynn, Watkins Daphne C, Bonner Timethia, Thompson Terry L
a School of Social Work , Michigan State University, East Lansing , Michigan, USA.
b School of Social Work, University of Michigan , Ann Arbor , Michigan , USA.
Soc Work Public Health. 2016 Oct;31(6):511-9. doi: 10.1080/19371918.2016.1160333. Epub 2016 May 23.
Diabetes and depression are two of the most frequently diagnosed health conditions in the United States and often co-occur. The present study examines racial/ethnic differences in predictors of mental health service use among a national sample of African Americans, Hispanics, and non-Hispanic Whites with a self-reported diabetes and depression diagnosis. Multiple logistic regression was used to analyze a cross-sectional sample (N = 3377) of the 2012 National Health Interview Survey (NHIS), a nationally representative, cross-sectional survey. African Americans were less likely to have visited a mental health professional in the last 12 months (odds ratio [OR] = .634, confidence interval [CI] [0.429, 0.911]). Significant odds ratios also uncovered results for the "never married" (OR = 1.737, CI [1.322, 2.281]) category. Also for the entire sample, being 55 years or older (OR = .352, CI [0.234, 0.533]) was found to be strongly associated with mental health service use for individuals with diabetes. Being unemployed or not in the labor force increased the odds of mental health service use in persons with diabetes and depression, whereas having less than a high school diploma or Graduate Equivalency Diploma decreased odds of visits (OR = .611, CI [0.394, 0.945]) as did not having health insurance (OR = .540, CI [0.365, 0.800]). Racial/ethnic variation in mental health service utilization exists among persons with self-reported diabetes and depression. Due to the challenges associated with comorbid depression and diabetes, as well as the impact depression can have on diabetes self-management, it is imperative that more strategies for managing both depression and diabetes be explored.
糖尿病和抑郁症是美国最常被诊断出的两种健康状况，且常常同时出现。本研究调查了患有自我报告的糖尿病和抑郁症诊断的非裔美国人、西班牙裔和非西班牙裔白人全国样本中，心理健康服务使用预测因素的种族/族裔差异。使用多元逻辑回归分析了2012年全国健康访谈调查（NHIS）的横断面样本（N = 3377），这是一项具有全国代表性的横断面调查。非裔美国人在过去12个月内拜访心理健康专业人员的可能性较小（优势比[OR] = 0.634，置信区间[CI] [0.429, 0.911]）。显著的优势比还揭示了“从未结婚”类别（OR = 1.737，CI [1.322, 2.281]）的结果。同样对于整个样本，发现55岁及以上（OR = 0.352，CI [0.234, 0.533]）与患有糖尿病的个体使用心理健康服务密切相关。失业或不在劳动力队伍中会增加患有糖尿病和抑郁症的人使用心理健康服务的几率，而高中文凭或同等学历以下则会降低就诊几率（OR = 0.611，CI [0.394, 0.945]），没有医疗保险的情况也是如此（OR = 0.540，CI [0.365, 0.800]）。在患有自我报告的糖尿病和抑郁症的人群中，心理健康服务利用存在种族/族裔差异。由于合并抑郁症和糖尿病带来的挑战，以及抑郁症对糖尿病自我管理的影响，探索更多管理抑郁症和糖尿病的策略势在必行。
