Depressive symptoms and diabetes self-management among rural older adults.
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.
Bell
Ronny A
RA
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
Andrews
Jeanette S
JS
Arcury
Thomas A
TA
Snively
Beverly M
BM
Golden
Shannon L
SL
Quandt
Sara A
SA
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