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.
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.
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Who cites it
17 citing papers in PubMed, 34 citations in OpenAlex.
- Effectiveness of an integrated primary care intervention in improving psychosocial outcomes among Latino adults with diabetes: the LUNA-D study.Translational behavioral medicine · 2022Trial
- Cultural and Immigration-Related Factors Influencing Diabetes Distress and Mental Health Among Hispanic Adults: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Social, psychological, and cultural dimensions of cardiovascular health among Hispanic/Latino adults: A narrative review of findings from the Hispanic Community Health Study/Study of Latinos.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Review
- Food insecurity among Latina women in Idaho and Washington: structural vulnerability, psychosocial factors, and cardiometabolic risk.Frontiers in nutrition · 2026Article
- An interoceptive model of energy allostasis linking metabolic and mental health.Science advances · 2025Review
- Social support in recently diagnosed diabetic patients: Risk factor for depression?Journal of public health research · 2024Article
- Patterns of maternal adverse childhood experiences and the intergenerational association of preschool children's emotional and behavioral problems.Frontiers in psychiatry · 2024Article
- The co-occurrence of adverse childhood experiences and mental health among Latina/o adults: A latent class analysis approach.Preventive medicine reports · 2023Article
- Type 2 diabetes and depressive symptoms in the adult population in Mexico: a syndemic approach based on National Health and Nutrition Survey.BMC public health · 2022Observational
- Perceived neighborhood factors, health behaviors, and related outcomes in the Hispanic Community Health Study/Study of Latinos.Preventive medicine · 2022Article
- Neighborhood Environment and Metabolic Risk in Hispanics/Latinos From the Hispanic Community Health Study/Study of Latinos.American journal of preventive medicine · 2022Article
- Neighbourhood characteristics related to mental health service use among adults with diabetes: a population-based cohort study in New Brunswick, Canada.BMC research notes · 2022Observational
- The accelerated aging phenotype: The role of race and social determinants of health on aging.Ageing research reviews · 2022Review
- Psychological distress, cardiometabolic diseases and musculoskeletal pain: A cross-sectional, population-based study of syndemic ill health in a Dutch fishing village.Journal of global health · 2021Article
- Syndemic contexts: findings from a review of research on non-communicable diseases and interviews with experts.Global health action · 2021Review
- Income and Other Contributors to Poor Outcomes in U.S. Patients with Sarcoidosis.American journal of respiratory and critical care medicine · 2020Article
- Neighborhood Environment and Type 2 Diabetes Comorbidity in Serious Mental Illness.Journal of primary care & community healthArticle
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Authors and funding
16 authors at 6 institutions in 1 country.
Funding
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.
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