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

IF 3.4 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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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.