Evidence map›Paper›PMID 30951585›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2019

Association of Social Adversity with Comorbid Diabetes and Depression Symptoms in the Hispanic Community Health Study/Study of Latinos Sociocultural Ancillary Study: A Syndemic Framework.

Jessica L McCurley, Angela P Gutierrez, Julia I Bravin, Neil Schneiderman, Samantha A Reina, Tasneem Khambaty, Sheila F Castañeda, Sylvia Smoller, Martha L Daviglus, Matthew J O'Brien and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 34 citations in OpenAlex.

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  16. Income and Other Contributors to Poor Outcomes in U.S. Patients with Sarcoidosis.American journal of respiratory and critical care medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Jessica L McCurleyDivision of General Internal Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
Angela P GutierrezJoint Doctoral Program in Clinical Psychology, San Diego State University/University of California San Diego, San Diego, CA, USA.
Julia I BravinJoint Doctoral Program in Clinical Psychology, San Diego State University/University of California San Diego, San Diego, CA, USA.
Neil SchneidermanDepartment of Psychology, University of Miami, Coral Gables, MA, USA.
Samantha A ReinaDepartment of Psychology, University of Miami, Coral Gables, MA, USA.
Tasneem KhambatyDepartment of Psychology, University of Miami, Coral Gables, MA, USA.
Sheila F CastañedaGraduate School of Public Health, San Diego State University, San Diego, CA, USA.
Sylvia SmollerDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
Martha L DaviglusInstitute for Minority Health Research, University of Illinois at Chicago, Chicago, IL, USA.
Matthew J O'BrienDepartment of General Internal Medicine and Geriatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Mercedes R CarnethonDepartment of Preventive Medicine, Feinberg School of Medicine, Chicago, IL, USA.
Carmen R IsasiDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
Krista M PerreiraDepartment of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Greg A TalaveraGraduate School of Public Health, San Diego State University, San Diego, CA, USA.
Mingan YangGraduate School of Public Health, San Diego State University, San Diego, CA, USA.
Linda C GalloDepartment of Psychology, San Diego State University, San Diego, CA, USA.
San Diego State University · USNorthwestern University · USUniversity of Miami · USAlbert Einstein College of Medicine · USHarvard University · USUniversity of North Carolina at Chapel Hill · US

Funding

Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
UCSD Integrated Cardiovascular Epidemiology FellowshipT32HL079891 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Matthew A Allison · 2007 to 2026
$6.7M
University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
Ancillary to HCHS/SOL: Sociocultural Factors and CVD risk/prevalence in HispanicsRC2HL101649 · NHLBI · SAN DIEGO STATE UNIVERSITY · PI GALLO, LINDA C, LLABRE, MARIA MAGDALENA · 2009 to 2010
$4.7M
HISPANIC COMMUNITY HEALTH STUDY-268065233N01HC065233 · HC · COORDINATING CENTER · PI CHAMBLESS, LLOYD E · 2006 to 2006
–
FIC NIH HHS R25 TW009343NCATS NIH HHS KL2 TR002545NHLBI NIH HHS N01 HC065233NHLBI NIH HHS N01 HC065234NHLBI NIH HHS N01 HC065235NHLBI NIH HHS N01 HC065236NHLBI NIH HHS N01 HC065237NHLBI NIH HHS RC2 HL101649NHLBI NIH HHS T32 HL079891NICHD NIH HHS P2C HD050924NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P30 DK092949NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

backgroundU.S. Hispanics/Latinos experience high lifetime risk for Type 2 diabetes and concurrent psychological depression. This comorbidity is associated with poorer self-management, worse disease outcomes, and higher mortality. Syndemic theory is a novel social epidemiological framework that emphasizes the role of economic and social adversity in promoting disease comorbidity and health disparities. PURPOSE: Informed by the syndemic framework, this study explored associations of socioeconomic and psychosocial adversity (low income/education, trauma history, adverse childhood experiences, ethnic discrimination, neighborhood problems [e.g., violence]) with comorbidity of diabetes and depression symptoms in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and Sociocultural Ancillary Study.

methodsParticipants were 5,247 Latino adults, aged 18-74, enrolled in four U.S. cities from 2008 to 2011. Participants completed a baseline physical exam and measures of depression symptoms and psychosocial adversity. Multinomial logistic regression analyses were conducted to examine associations of adversity variables with comorbid diabetes and high depression symptoms.

resultsHousehold income below $30,000/year was associated with higher odds of diabetes/depression comorbidity (odds ratio [OR] = 4.61; 95% confidence interval [CI]: 2.89, 7.33) compared to having neither condition, as was each standard deviation increase in adverse childhood experiences (OR = 1.41; 95% CI: 1.16, 1.71), ethnic discrimination (OR = 1.23; 95% CI: 1.01, 1.50), and neighborhood problems (OR = 1.53; 95% CI: 1.30, 1.80).

conclusionLow household income, adverse childhood experiences, ethnic discrimination, and neighborhood problems are related to comorbid diabetes and depression in U.S. Latinos. Future studies should explore these relationships longitudinally.

Indexed as

Life Change EventsPsychosocial DeprivationAdolescentAdultAgedComorbidityDepressive DisorderDiabetes Mellitus, Type 2Educational StatusFemaleHealth Status DisparitiesHispanic or LatinoHumansMaleMiddle AgedPovertyDepressionDiabetesHispanic/LatinoPsychosocialStructuralSyndemic

Identifiers

PMID30951585
PMCPMC6779072
OpenAlexW2933342152

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.