Psychological Factors and Prevalence of Diabetes and Prediabetes in a United States-Mexico Border Community.

IF 1.7 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ethnicity & Disease Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI:10.18865/EthnDis-2024-3

Jessica L McCurley, Jesus A Naranjo, Rebeca A Jiménez, Juan M Peña, Jose L Burgos, Adriana Carolina Vargas-Ojeda, Victoria D Ojeda, Scott Roesch, Paul J Mills, Maria Rosario Araneta, Gregory A Talavera, Linda C Gallo

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引用次数: 0

Abstract

Background: Domestic and international migrants along the United States-Mexico border are at increased risk for diabetes due to structural and psychosocial adversities.

Objectives: This study assessed the prevalence of diabetes and prediabetes in a low-income United States-Mexico border community; examined the relationships between depression, anxiety, andadverse childhood experiences (ACEs) and diabetes prevalence and glucose regulation; and explored indirect effects of social support on these relationships. Results. Participants were 220 adults ages 19-83 years (M.47.2, SD.11.9) of majority Mexican nationality (89.1%). Over 70% reported history of migration to the United States; 56.8% reported deportation from the United States to Mexico. Prevalences of clinically significant depression and anxiety symptoms were 36.9% and 33.3%, respectively. Prevalences of diabetes and prediabetes were 17.3% and 29.1%, respectively. Psychological variables were not associated with diabetes or glucose regulation. Indirect effects were found from depression and ACEs through social support to hemoglobin A1c.

Conclusions: Results suggest the need for diabetes prevention interventions with an integrated biopsychosocial approach.

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美墨边境社区糖尿病和前驱糖尿病的心理因素和患病率。

背景：由于结构和心理逆境，美国-墨西哥边境的国内和国际移民患糖尿病的风险增加。目的：本研究评估了美国-墨西哥边境低收入社区糖尿病和前驱糖尿病的患病率；研究了抑郁、焦虑和不良童年经历（ace）与糖尿病患病率和血糖调节之间的关系；并探讨了社会支持对这些关系的间接影响。结果。参与者为220名成年人，年龄19-83岁（M.47.2, s.d.11.9），大多数为墨西哥国籍（89.1%）。超过70%的人有移民美国的历史；56.8%的人报告从美国被驱逐到墨西哥。临床显著抑郁和焦虑症状的患病率分别为36.9%和33.3%。糖尿病和前驱糖尿病的患病率分别为17.3%和29.1%。心理变量与糖尿病或血糖调节无关。发现抑郁和ace通过社会支持对血红蛋白A1c有间接影响。结论：研究结果表明，需要采用综合的生物-心理-社会方法进行糖尿病预防干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.