title: Everyday discrimination, diabetes-related distress, and depressive symptoms among African Americans and Latinos with diabetes.
abstract: It is not known how discrimination might affect diabetes-related distress (DRD), an important correlate of diabetes outcomes. We examined correlates of discrimination and the influence of discrimination on DRD and depressive symptoms (DS) for African Americans and Latinos with type 2 diabetes. We analyzed survey data (n = 157) collected at enrollment into a diabetes management intervention. Using multiple linear regression, we examined correlates of discrimination and the association between discrimination and DRD and DS. Discrimination was significantly associated with higher DRD for Latinos (b 1.58, 95% CI 1.08, 2.31, p < 0.05), but not significant for African Americans (b 0.96, 95% CI 0.59, 1.57). Discrimination was marginally significantly associated with more DS for Latinos (b 1.43, 95% CI 0.97, 2.12, p < 0.10), but not significant for African Americans (b 1.21, 95% CI 0.87, 1.70). These findings suggest the need to address stressors unique to racial/ethnic minorities to improve diabetes-related outcomes.
authors.affiliation: Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA, alanamw@umich.edu.
authors.forename: Alana M W
authors.initials: AM
authors.lastname: LeBron
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Valerio
authors.forename: Edith
authors.initials: E
authors.lastname: Kieffer
authors.forename: Brandy
authors.initials: B
authors.lastname: Sinco
authors.forename: Ann-Marie
authors.initials: AM
authors.lastname: Rosland
authors.forename: Jaclynn
authors.initials: J
authors.lastname: Hawkins
authors.forename: Nicolaus
authors.initials: N
authors.lastname: Espitia
authors.forename: Gloria
authors.initials: G
authors.lastname: Palmisano
authors.forename: Michael
authors.initials: M
authors.lastname: Spencer
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000453:epidemiology / Q000208:ethnology* / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000208:ethnology* / Q000523:psychology; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D063505:Racism / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D013315:Stress, Psychological / Q000453:epidemiology / Q000208:ethnology* / Q000209:etiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult