Prevalence and Correlates of Depressive Symptoms Among Rural Older African Americans, Native Americans, and Whites With Diabetes

• DOI: 10.2337/diacare.28.4.823
• Publication Date: 2007-03-05T22:51:27Z
• Authors: Ronny A. Bell; Shannon L. Smith; Thomas A. Arcury; Beverly M. Snively; Jeanette M. Stafford; Sara A. Quandt
• Keywords: Depression

OBJECTIVE—Depression is associated with morbidity, mortality, and decreased quality of life a well-established complication among people diabetes. Little known about the prevalence correlates depressive symptoms older adults living in rural communities, particularly ethnic minority groups, who are at increased risk developing diabetes complications. RESEARCH DESIGN AND METHODS—Data were analyzed from ELDER (Evaluating Long-term Diabetes Self-management Among Elder Rural Adults) study which face-to-face interviews conducted 696 (≥65 years age) African-American, Native American, white men women two counties central North Carolina. RESULTS—Using criterion ≥9 on modified CES-D (Center for Epidemiologic Study Depression) scale, 15.8% sample had symptoms. In bivariate analyses, symptomatology was more common individuals unmarried less than high school education, fewer financial resources, chronic conditions, prescription medications, lower physical functioning. multivariate sex, arrangement, BMI, number functioning remained significant. CONCLUSIONS—These results show that symptoms, regardless their group, certain demographic health characteristics important factors this association. These findings add to limited body knowledge comorbid depression population. Greater attention should be paid diagnosing treating condition by those provide care these populations.