Abstract
Mental Health in Relation to Diabetes in El Banco por Salud
APHA 2022 Annual Meeting and Expo
Background
Type 2 diabetes (T2D) disproportionately impacts Latino communities. Latinos with diabetes experience more depression than non-Latinos with T2D which can adversely impact glycemic control. The purpose of this study is to assess the association between diabetic status and depression in a biobank for Latinos in southern Arizona.
Methods
El Banco por Salud (El Banco) is a biobank at the University of Arizona composed of Latino patients from federally qualified health center (FQHC) partners: El Rio and Mariposa Community Health Centers. Enrolled participants completed medical history, biometric and clinical laboratory measurements and a questionnaire including the Patient Health Questionnaire-2 (PHQ-2) to assess for major depression. Descriptive statistics were generated, and logistic regression models were used to assess the association between diabetes and depression.
Results
As of September 2021, there were 968 participants in the biobank, 29% (n=281) reported a depression diagnosis (n=239) or a PHQ-2 score in the major depressive range (n=102). Nearly 70% (n=675) had a hemoglobin A1C ≥6.5 or fasting plasma glucose >126. Effect modification by enrollment site was significant. The odds of depression in participants with diabetes at Mariposa was 2.9 (95% CI:1.11-7.39) times higher compared to those with no diabetes after adjusting for age, language, country of birth, insurance, married and education. No significant association was found between diabetes and depression at El Rio.
Conclusion
Clinical diabetes management needs to incorporate depression screenings and treatments to improve diabetic outcomes for Latinos in partnered FQHCs.