ArticleJournal of diabetes and its complications2019
Factors associated with antidepressant use among low-income racially and ethnically diverse patients with type 2 diabetes.
Article in Journal of diabetes and its complications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 7 citations in OpenAlex.
- Psychological interventions for depression in people with diabetes mellitus.The Cochrane database of systematic reviews · 2025Article
- Depression Literacy, Associated Factors, and Correlation of Related Variables in Middle-Aged Korean Adults: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Reliability and Validity of the Neuropsychiatric Inventory-Questionnaire Using a Rasch Analysis.Journal of nursing measurement · 2022Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveDepression is common in patients with type 2 diabetes and associated with poor diabetes-related outcomes. We evaluated the factors associated with antidepressant use in a low-income, racially and ethnically diverse sample of patients with type 2 diabetes. RESEARCH DESIGN AND
methodsWe performed a cross-sectional study of baseline data from participants in a cluster randomized trial evaluating a health literacy intervention for diabetes care in safety net clinics. Depressive symptoms were measured by the Center for Epidemiological Studies Depression Scale (CES-D); antidepressant use was abstracted from medication lists. Multivariable mixed effects logistic regression was used to evaluate the relationship between antidepressant use and race/ethnicity adjusting for depressive symptoms, age, gender, income, and health literacy.
resultsOf 403 participants, 58% were non-Hispanic White, 18% were non-Hispanic Black, and 24% were Hispanic. Median age was 51 years old; 60% were female, 52% of participants had a positive screen for depression, and 18% were on antidepressants. Black and Hispanic participants were significantly less likely to be on an antidepressant compared with white participants, adjusted odds ratios 0.31(95% CI: 0.12 to 0.80) and 0.26 (95% CI: 0.10 to 0.74), respectively.
conclusionsIn this vulnerable population with type 2 diabetes, we found a high prevalence of depressive symptoms, and a small proportion of participants were on an antidepressant. Black and Hispanic participants were significantly less likely to be treated with an antidepressant. Our findings suggest depression may be inadequately treated in low-income, uninsured patients with type 2 diabetes, especially racial and ethnic minorities.
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