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Underdiagnosed and undertreated depression among racially/ethnically diverse patients with type 2 diabetes.


ABSTRACT: 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.Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an observational study.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).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

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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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