Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes

Dana March, Jasmine Williams, Shayla Wells, Joseph P. Eimicke, Jeanne A. Teresi, Casandra Almonte, Bruce G. Link, Sally E. Findley, Walter Palmas, Olveen Carrasquillo, José A. Luchsinger

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Abstract

OBJECTIVES: We had three objectives for our study: 1) to describe the prevalence and burden of experiences of discrimination among Hispanics with poorly controlled diabetes; 2) to evaluate associations among discrimination experiences and their burden with comorbid depression among Hispanics with poorly controlled diabetes; and 3) to evaluate whether discrimination encountered in the health care context itself was associated with comorbid depression for Hispanic adults with diabetes.

DESIGN: We conducted a cross-sectional analysis of baseline data of a randomized controlled trial (RCT).

SETTING: We collected data in the context of an RCT in a clinical setting in New York City.

PARTICIPANTS: Our sample comprised 221 urban-dwelling Hispanics, largely of Caribbean origin.

MAIN OUTCOME MEASURES: The main outcome measure was major depression, measured by the Euro-D (score > 3).

RESULTS: Of 221 participants, 58.8% reported at least one experience of everyday discrimination, and 42.5% reported at least one major experience of discrimination. Depression was associated significantly with counts of experiences of major discrimination (OR = 1.46, 95% CI = 1.09 - 1.94, P = .01), aggregate counts of everyday and major discrimination (OR = 1.13, 95% CI = 1.02 - 1.26, P = .02), and the experience of discrimination in getting care for physical health (OR = 6.30, 95% CI= 1.10-36.03).

CONCLUSIONS: Discrimination may pose a barrier to getting health care and may be associated with depression among Hispanics with diabetes. Clinicians treating Caribbean-born Hispanics should be aware that disadvantage and discrimination likely complicate a presentation of diabetes.

Original languageEnglish (US)
Pages (from-to)130-137
Number of pages8
JournalEthnicity & disease
Volume25
Issue number2
StatePublished - Mar 1 2015

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

March, D., Williams, J., Wells, S., Eimicke, J. P., Teresi, J. A., Almonte, C., Link, B. G., Findley, S. E., Palmas, W., Carrasquillo, O., & Luchsinger, J. A. (2015). Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes. Ethnicity & disease, 25(2), 130-137.