title: Depressive symptoms and diabetes self-management among rural older adults.
abstract: OBJECTIVE
  To assess the association of depressive symptoms with diabetes self-management regimens among older adults with type 2 diabetes in a rural, ethnically diverse community.
  
  
  METHODS
  Data from 696 rural older African Americans, American Indians, and whites were used to assess depressive symptoms (modified CES-D) and diabetes self-management (physical activity, blood glucose self-monitoring, self foot checks, following a healthful eating plan, and medication adherence).
  
  
  RESULTS
  In bivariate analyses, high CES-D scores were associated with decreased adherence to a healthful eating plan and physical activity and increased foot checks; the latter 2 remained significant in multivariate analyses.
  
  
  CONCLUSIONS
  Older adults with diabetes and depression are less likely to adhere to self-management, increasing their risk of complications.
authors: Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA. rbell@wfubmc.edu
authors: Ronny A
authors: RA
authors: Bell
authors: Jeanette S
authors: JS
authors: Andrews
authors: Thomas A
authors: TA
authors: Arcury
authors: Beverly M
authors: BM
authors: Snively
authors: Shannon L
authors: SL
authors: Golden
authors: Sara A
authors: SA
authors: Quandt
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D044383:Black People; D003866:Depressive Disorder / Q000150:complications / Q000453:epidemiology / Q000523:psychology*; D048909:Diabetes Complications / Q000453:epidemiology / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D006801:Humans; D007198:Indians, North American; D008297:Male; D015999:Multivariate Analysis; D009657:North Carolina / Q000453:epidemiology; D015995:Prevalence; D012424:Rural Population; D012648:Self Care / Q000523:psychology*; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D044465:White People; D001741:Black or African American