Underdiagnosed and undertreated depression among racially/ethnically diverse patients with type 2 diabetes.
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ABSTRACT: Objective
To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes.Research design and methods
Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an observational study.Results
Vietnamese American (133, 59.4%) and Mexican American (351, 50.2%) patients were more likely to report symptoms consistent with clinical depression (Center for Epidemiological Studies Depression [CES-D] scale score ≥ 22) than non-Hispanic whites (119, 41.6%; F [2, 1206] = 8.05, P < 0.001). Despite comparable diabetes care, Vietnamese and Mexican patients with high depressive symptoms were less likely to be diagnosed and treated than non-Hispanic whites (all P values < 0.001). Minority patients who reported low levels of trust in their provider were less likely to have been diagnosed or treated for depression (adjusted odds ratio 0.65, 95% CI 0.44-0.98, P < 0.05).Conclusions
Innovative strategies are needed to improve recognition of depressive symptoms in minority patients.
SUBMITTER: Sorkin DH
PROVIDER: S-EPMC3041188 | biostudies-literature | 2011 Mar
REPOSITORIES: biostudies-literature
Publications
Underdiagnosed and undertreated depression among racially/ethnically diverse patients with type 2 diabetes.
Sorkin Dara H DH Ngo-Metzger Quyen Q Billimek John J August Kristin J KJ Greenfield Sheldon S Kaplan Sherrie H SH
Diabetes care 20110127 3
<h4>Objective</h4>To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes.<h4>Research design and methods</h4>Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an observational study.<h4>Results</h4>Vietnamese American (133, 59.4%) and Mexican American (351, 50.2%) patients were more likely to rep ...[more]
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