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 urbandwelling 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 (OR51.46, 95%CI51.09- 1.94, P5.01), aggregate counts of everyday and major discrimination (OR51.13, 95%CI51.02- 1.26,P5.02),andtheexperienceofdiscrimination in getting care for physical health (OR56.30, 95%CI51.10-36.03). Conclusions: Discriminationmay 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 language||English (US)|
|Number of pages||8|
|Journal||Ethnicity and Disease|
|State||Published - Mar 1 2015|
- Health disparities
- Immigrant health
ASJC Scopus subject areas