Shi Yun, Wang Chan, Sevick Mary Ann, Bao Han, Xu Xinyi, Jiang Yulin, Zhu Ziqiang, Wei Ashley, Feldman Naumi M, Hu Lu
Center for Healthful Behavior Change, Institute for Excellence in Health Equity, NYU Langone Health, New York, NY, USA.
Department of Population Health, NYU Grossman School of Medicine, NYU Langone Health, New York, NY, USA.
Diabetes Metab Syndr Obes. 2024 Jul 29;17:2845-2853. doi: 10.2147/DMSO.S459478. eCollection 2024.
The purpose of this study is to describe diabetes distress and related factors among Chinese Americans with type 2 diabetes in New York City (NYC).
We conducted a secondary data analysis of the baseline data from three research studies conducted among community-dwelling Chinese American adults with type 2 diabetes. Diabetes Distress Scale (DDS) was used to measure sources of diabetes distress including emotional-, regimen-, interpersonal-, and physician-related distress. A score of 2 or greater indicates moderate diabetes distress or higher. Patient Health Questionnaire-2 (PHQ-2) was used to measure depressive symptoms. Participants' sociodemographic information was also collected. Descriptive statistics were used to describe diabetes distress, and logistic least absolute shrinkage and selection operator (LASSO) regression was used to examine factors associated with diabetes distress level.
Data from 178 participants (mean age 63.55±13.56 years) were analyzed. Most participants were married (76.40%), had a high school degree or less (65.73%), had a household annual income < $25,000 (70.25%), and reported limited English proficiency (93.22%). About 25.84% reported moderate or higher overall distress. The most common sources of distress were emotional burden (29.78%), followed by regimen- (28.65%), interpersonal- (18.54%), and physician-related distress (14.04%). Participants who were younger, female, limited English proficient, and had elevated depressive symptoms were more likely to have higher diabetes distress.
Diabetes distress is prevalent among Chinese immigrants with type 2 diabetes, especially emotional- and regimen-related distress. Given the known link between diabetes distress and poor glycemic control, it is critical to screen for diabetes distress at primary care clinics and incorporate psychological counseling in diabetes care in this underserved population.
本研究旨在描述纽约市（NYC）2型糖尿病华裔美国人的糖尿病困扰及相关因素。
我们对三项针对社区居住的2型糖尿病华裔美国成年人开展的研究中的基线数据进行了二次数据分析。采用糖尿病困扰量表（DDS）来衡量糖尿病困扰的来源，包括情绪、治疗方案、人际和与医生相关的困扰。得分2分或更高表明存在中度或更高程度的糖尿病困扰。使用患者健康问卷-2（PHQ-2）来衡量抑郁症状。还收集了参与者的社会人口学信息。描述性统计用于描述糖尿病困扰情况，逻辑最小绝对收缩和选择算子（LASSO）回归用于检验与糖尿病困扰水平相关的因素。
对178名参与者（平均年龄63.55±13.56岁）的数据进行了分析。大多数参与者已婚（76.40%），拥有高中及以下学历（65.73%），家庭年收入低于25,000美元（70.25%），且英语水平有限（93.22%）。约25.84%的人报告有中度或更高程度的总体困扰。最常见的困扰来源是情绪负担（29.78%），其次是治疗方案（28.65%）、人际（18.54%）和与医生相关的困扰（14.04%）。年龄较小、女性、英语水平有限且抑郁症状加重的参与者更有可能有更高的糖尿病困扰。
糖尿病困扰在2型糖尿病华裔移民中普遍存在，尤其是情绪和与治疗方案相关的困扰。鉴于糖尿病困扰与血糖控制不佳之间的已知联系，在基层医疗诊所筛查糖尿病困扰并将心理咨询纳入该服务不足人群的糖尿病护理中至关重要。
