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- Title
SERIOUS PSYCHOLOGICAL DISTRESS AND DIABETES MANAGEMENT AMONG AMERICAN INDIANS AND ALASKA NATIVES.
- Authors
Huyser, Kimberly R.; Manson, Spero M.; Nelson, Lonnie A.; Noonan, Carolyn; Roubideaux, Yvette
- Abstract
Objective: Our study examined associations between serious psychological distress and blood glucose level (HbA1c) arid body mass index (BMI) among American Indian and Alaska Native (AI/AN) participants in a cardiovascular disease prevention program. Design: Using linear regression, we assessed the relationships between serious psychological distress and HbA1 c and BMI at baseline and one year later. Setting, Participants, and Intervention: AI/AN participants were aged ≥18 years, diagnosed with type 2 diabetes, and enrolled in the Special Diabetes Project for Indians Healthy Heart Project. Main Outcome Measures: Outcomes were percentage of HbA1c and BMI, measured at enrollment and first annual exam. Both outcomes were continuous measures in all analyses. Results: Serious psychological distress was associated at baseline with increased HbA1c in the unadjusted and adjusted models (adjusted b=.17%, P<0.01). Serious psychological distress also was associated at baseline with increased BMI (.635 kg/m², P=.01) and at one year with increased BMI (0.174 kg/m², P= .01) in the unadjusted model. After adjustment for demographic and health characteristics, these relationships were no longer significant. Conclusions: Cross-sectional baseline findings are consistent with existing literature. One-year findings suggest need for further inquiry into mediators of psychological distress and examination of additional diabetes-specific health outcomes. Additional years of observation may be needed to disentangle relationships between serious psychological distress and BMI.
- Subjects
PSYCHOLOGICAL distress; TREATMENT of diabetes; ALASKA Natives; BODY mass index; CARDIOVASCULAR disease prevention; DISEASES
- Publication
Ethnicity & Disease, 2015, Vol 25, Issue 2, p145
- ISSN
1049-510X
- Publication type
Article