title: Comorbid Diabetes and Depression in African Americans: Implications for the Health Care Provider.
abstract: Health care providers (HCPs) face many obstacles as they undertake efforts to meet the challenges of caring for African American patients with comorbid diabetes and depression. This review article discusses the incidence of comorbid diabetes and depression in African Americans, cultural factors affecting diabetes self-management, and clinical practice implications for the HCP. The role of patient-centered care, engagement, and best-practice strategies are discussed to provide the HCP with guidelines regarding the minimal standards that support improved health care outcomes for African Americans with comorbid diabetes and depression.
authors.affiliation: University of Louisville School of Nursing, Louisville, KY, USA. dochle01@louisville.edu.
authors.forename: Diane Orr
authors.initials: DO
authors.lastname: Chlebowy
authors.affiliation: University of Louisville School of Nursing, Louisville, KY, USA.
authors.forename: Mary-Beth
authors.initials: MB
authors.lastname: Coty
authors.affiliation: Wenzhou Medical University School of Nursing, Wenzhou, Zhejiang, China.
authors.forename: Liyan
authors.initials: L
authors.lastname: Fu
authors.affiliation: University of Louisville School of Nursing, Louisville, KY, USA.
authors.forename: Vicki
authors.initials: V
authors.lastname: Hines-Martin
mesh_terms: D001741:Black or African American; D003695:Delivery of Health Care / Q000592:standards*; D003866:Depressive Disorder / Q000209:etiology / Q000628:therapy*; D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018802:Patient-Centered Care / Q000592:standards
keywords: African americans; Culture; Depression; Diabetes; Patient engagement; Patient-centered care