title: Social support modifies the association between household food insecurity and depression among Latinos with uncontrolled type 2 diabetes.
abstract: Prevalence of depression is high among individuals with type 2 diabetes (T2D). The objective of the current study was to identify the socio-demographic, psychosocial, cultural, and clinical risk factors that predispose to depression, and resources that protect from depression among low income Latinos with T2D. Participants (N = 211) were interviewed in their homes upon enrollment. Multivariate logistic regression was used to identify factors associated with depressive symptoms based on a score of ≥21 on the Center for Epidemiological Studies Depression scale. Lower household income, interference of diabetes with daily activities, and more T2D clinical symptoms were associated with depression risk in the multivariate analyses. At each level of food insecurity the risk of depression was lower the higher the level of social support (P < 0.05). Findings suggest that social support buffers against the negative influence of household food insecurity on depression risk. A comprehensive approach is necessary to address the mental health needs of low income Latinos with T2D.
authors.affiliation: University of Connecticut, Storrs, CT 06269, USA. grace.kollannoor_samuel@uconn.edu
authors.forename: Grace
authors.initials: G
authors.lastname: Kollannoor-Samuel
authors.forename: Julie
authors.initials: J
authors.lastname: Wagner
authors.forename: Grace
authors.initials: G
authors.lastname: Damio
authors.forename: Sofia
authors.initials: S
authors.lastname: Segura-Pérez
authors.forename: Jyoti
authors.initials: J
authors.lastname: Chhabra
authors.forename: Sonia
authors.initials: S
authors.lastname: Vega-López
authors.forename: Rafael
authors.initials: R
authors.lastname: Pérez-Escamilla
mesh_terms: D000328:Adult; D000368:Aged; D003863:Depression / Q000208:ethnology*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000503:physiopathology*; D005260:Female; D005523:Food Supply; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012944:Social Support; D014481:United States