Abstract
Little is known about diabetes and depression in disadvantaged urban
Hispanic subgroups, particularly those of Caribbean origin. Using data from 360
urban Hispanics of Caribbean origin with poorly controlled diabetes, our
objectives were to examine the prevalence and correlates of depressive symptoms
and depression using the Euro-D, and the association of depressive symptoms and
depression with diabetes self-management and clinical parameters of diabetes
control, employing multivariate analyses. The prevalence of depression was
52.8%. Higher levels of depressive symptoms were related to female
gender (p < .0001), antidepressant use (p < .0001), stressful
life events (p < .0001), SSI (p = .0011), lower education (p
< .0001), lower statin use (p = .0014), and less walking (p
= .0152). Depression (Euro-D > 3), was associated significantly
with female gender (OR = 2.30, 95%CI = 1.38–
3.82), SSI (OR = 2.44, 95%CI = 1.45– 4.12),
antidepressant use (OR = 2.94, 95%CI = 1.54–
5.64), and stressful life events (OR = 1.93, 95%CI =
1.52– 2.44). Depressive symptoms and depression were related to markers
of adversity and two indicators of diabetes self-management, but not clinical
parameters of diabetes control.
