title: The association of depression with diabetes management among urban American Indians/Alaska Natives in the United States, 2011.
abstract: OBJECTIVE
  To determine the relationship between depression and diabetes management among urban American Indians/Alaska Natives (AI/ANs).
  
  
  METHODS
  Retrospective, cross-sectional analysis of medical records.
  
  
  METHODS
  33 Urban Indian Health Organizations that participated in the Indian Health Service Diabetes Care and Outcomes Audit.
  
  
  METHODS
  3,741 AI/AN patient records.
  
  
  METHODS
  Diabetes management outcomes, including HbA1c, smoking, BMI, systolic blood pressure, creatinine, total cholesterol, and receipt of preventive services.
  
  
  RESULTS
  Individuals with depression and diabetes were 1.5 times more likely to smoke than individuals with diabetes but without depression (OR=1.51; 95% Cl: 1.23, 1.86), controlling for age, sex, and facility. After adjustment, the geometric mean BMI in diabetes patients with depression was 3% higher than in patients without depression (β=.034; 95% CI: .011, .057).
  
  
  CONCLUSIONS
  Urban AI/ANs with diabetes and depression are more likely to smoke and have higher BMI than those with diabetes but without depression. These findings inform programmatic efforts to address the care of patients with both depression and diabetes.
authors: Elizabeth S
authors: ES
authors: Knaster
authors: Amanda M
authors: AM
authors: Fretts
authors: Leslie E
authors: LE
authors: Phillips
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska / Q000208:ethnology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000628:therapy*; D005260:Female; D006303:Health Services, Indigenous / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D004930:Inuit / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States; D014504:Urban Health; D019037:Urban Health Services / Q000706:statistics & numerical data; D014505:Urban Population