Health outcomes associated with posttraumatic stress disorder and depressive symptoms among Indigenous adults with type 2 diabetes
Indigenous communities are differentially impacted by diabetes, trauma, and posttraumatic stress disorder (PTSD) compared to the general population. Prior literature has demonstrated worse diabetes outcomes for those with mental health conditions, but there is a paucity surrounding the impact of PTSD for Indigenous individuals. We examine the prevalence, associated trauma, and health outcomes correlated with PTSD and depressive symptoms among Indigenous adults with diabetes.
Data is from the Mino Giizhigad (A Good Day) study, a community based participatory research collaboration between two tribal communities and a university research team. Indigenous adults with type 2 diabetes (n=218) were randomly sampled from clinic records. Participants completed interviewer-administered surveys assessing PTSD (Primary Care PTSD), depressive symptoms (PHQ-9), high blood sugar, hospitalization, and self-rated health status. Descriptive statistics, chi-square difference tests, and multivariate logistic regression models were used to analyze the data.
Using a cutoff of three or higher on the PC-PTSD 21.8% of participants screened positive for PTSD. Loss of loved ones and abuse (physical/sexual) were the most commonly reported trauma sources. After controlling for other factors, those with both PTSD and depressive symptoms were more likely to have hospitalization (Odds Ratio 6.33; p = 0.001) and low self-rated health status (Odds Ratio 5.33; p = 0.004) compared to those with neither.
This study found relatively high rates of PTSD among a sample of Indigenous adults with diabetes. It also demonstrated separate and potentially cumulative negative health outcomes associated with PTSD and depressive symptoms.
Learning Areas:Diversity and culture
Social and behavioral sciences
List the main sources of trauma identified by those with posttraumatic stress disorder Discuss the negative health outcomes associated with posttraumatic stress disorder and depressive symptoms among Indigenous adults with type 2 diabetes
Keyword(s): Mental Health, Diabetes
Qualified on the content I am responsible for because: I am a practicing pharmacist (PharmD), and PhD candidate in the field of Social and Administrative Pharmacy. I have co-authored other published papers pertaining to diabetes and mental health in Indigenous communities. My dissertation project involves investigating factors that influence diabetes self-care activities among Indigenous individuals with type 2 diabetes.
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.