271266 Association between diabetes and depressive symptomatology among Hispanic Adults in Puerto Rico

Tuesday, October 30, 2012

Edith Lopez-Toro, MPHEc , Department of Social Science, Health Education Program, Graduate School of Public Health, University of Puerto Rico, San Juan, PR
Oscar Martínez, MPHg , Department of Human Development,Gerontology Master Program, University of Puerto Rico, Medical Sciences Campus, San Juan, PR
Jose F. Colón-Burgos, BA, MS, DrPHstudent , Social Determinants of Health Doctorate Program, Department of Social Sciences, University of Puerto Rico, Medical Sciences Campus, San Juan, PR
Moraima Rios- Gonzalez, MS , Health Services Analysis and Management Program, Department of Health Services Research and Administration, University of Puerto Rico, Medical Sciences Campus, San Juan, PR
Victor Emanuel Reyes-Ortiz, PhDc , Maternal and Child Health Program, University of Puerto Rico, School of Public Health, San Juan, PR
Diabetes and depression are among the highest rate of morbidity and mortality. Studies demonstrate the association between depressive symptoms and the complications of the diabetes. This study aims to demonstrate the associations between diabetes and the depressive symptomatology (DS) in a group of adults (18-89 years). A cross sectional study was realized and the data was collected from endocrinology clinics in the rural north zone of Puerto Rico for the year 2011 (N= 238). The instrument used to measure the DS in the sample was the CES-D. Descriptive statistics were used to describe participants' profile. Bivaritate and multivariate analysis was made to compare data. The mean age for the sample was 56 years. Results shows that the academic degree (p < 0.001), anxiety (p< 0.001) and the level of income (p= 0.02) were correlated with DS. However, diabetes (p= 0.09) was marginally correlated with DS. It was also observed that type of health insurance (p= 0.36), sex (p= 0.49), age (p= 0.25) and Body Mass Index (BMI) (p= 1.00) weren't significantly associated with DS. After lineal regression, anxiety was the most significant predictor in the model after adjusting by age and income (p< 0.001, IC95%: 9.26, 19.53). In conclusion, among the participants the anxiety variable demonstrated to be a predictor of DS, as well as academic degree and income level. In contrast, with other populations reported in literature no other variable showed significant associations.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Identify risk factors associated to diabetes and depression symptomatology.

Keywords: Diabetes, Latino Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Public Health student and professional.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.