title: Serious psychological distress and diabetes care among California adults.
abstract: OBJECTIVE
  To evaluate three aspects of diabetes care (foot checks, eye examinations, and hemoglobin A 1 C checks by a physician) among California adults with Type 2 diabetes and serious psychological distress (SPD).
  
  
  METHODS
  Data were from the population-based 2005 California Health Interview Survey. Estimates were that in 2005, 1,516,171 Californians (5.75% of all adults) had a physician-given diabetes diagnosis, and of those, 108,621 (7.16%) had co-morbid SPD.
  
  
  RESULTS
  Among Californians with Type 2 diabetes, SPD was associated with fewer physician foot checks (odds ratio = 0.56, 95% Confidence Interval = 0.32 to 0.97) but not with fewer eye examinations or hemoglobin A 1 C checks.
  
  
  CONCLUSIONS
  The findings highlight a specific area--foot complication evaluation and prevention--for improving the quality of diabetes care among adult Californians with Type 2 diabetes and SPD.
authors.affiliation: Department of Psychology, Westfield State College, MA 01086, USA. swilliams@wsc.ma.edu
authors.forename: Summer L
authors.initials: SL
authors.lastname: Williams
authors.forename: Kelly B
authors.initials: KB
authors.lastname: Haskard-Zolnierek
authors.forename: Jim E
authors.initials: JE
authors.lastname: Banta
authors.forename: Mark G
authors.initials: MG
authors.lastname: Haviland
authors.forename: M Robin
authors.initials: MR
authors.lastname: DiMatteo
authors.forename: Donald L
authors.initials: DL
authors.lastname: Anderson
authors.forename: Leonard S
authors.initials: LS
authors.lastname: Werner
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology*; D002140:California; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D048909:Diabetes Complications / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000523:psychology* / Q000628:therapy; D017719:Diabetic Foot / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D003930:Diabetic Retinopathy / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D011787:Quality of Health Care; D011788:Quality of Life; D012803:Sick Role; D055815:Young Adult
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human