title: Health and psychosocial outcomes in U.S. adult patients with diabetes from diverse ethnicities.
abstract: Within the United States, diabetes is a serious public health concern and patients with diabetes are more likely to experience clinical depression, psychological distress, and depressive symptoms than those without. Negative psychosocial factors are associated with poorer diabetes management and glycemic control. Overall, both the rates of diabetes and related psychological distress are greater for persons of diverse ethnicities than for non-Latino whites, and have reached epidemic proportions in certain groups. The following article will provide an overview across ethnicities of the rates of diabetes, health outcomes, psychosocial outcomes, and unique cultural and linguistic challenges that contribute to disparities within US diabetes patients of diverse ethnicities. Using this information, our hope is that health care practitioners and researchers alike can better respond to the psychosocial needs of ethnically diverse patients.
authors.affiliation: Department of Pediatrics, University of California San Francisco, 400 Parnassus Avenue, 4th Floor, UCSF, MailBox 0318, San Francisco, CA 94143-0318, USA. NaranjoD@peds.ucsf.edu
authors.forename: Diana
authors.initials: D
authors.lastname: Naranjo
authors.forename: Danielle M
authors.initials: DM
authors.lastname: Hessler
authors.forename: Rupinder
authors.initials: R
authors.lastname: Deol
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Chesla
mesh_terms: D003863:Depression / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000208:ethnology* / Q000523:psychology*; D003928:Diabetic Nephropathies / Q000453:epidemiology / Q000208:ethnology / Q000523:psychology*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011788:Quality of Life / Q000523:psychology; D012648:Self Care; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology / Q000208:ethnology