Abstract P086: The Association between Psychological Distress and Diabetes Prevalence among Foreign-Born Blacks in the United States: An Examination of the 2010-2014 National Health Interview Survey
Background: Psychological distress, a leading cause of disability globally, is highly prevalent in people diagnosed with diabetes. Blacks in the U.S. are disproportionately affected by chronic conditions such as diabetes. Taken together, psychological distress and diabetes constitute an immense health burden and result in poor health outcomes, increased mortality and decreased quality of life. While the association between psychological distress and diabetes is documented among U.S.-born Blacks, this relationship remains poorly examined among the growing foreign-born Black population in the U.S.
Hypothesis: We hypothesized that psychological distress (non-specific) would be associated with a higher prevalence of diabetes among a sample of foreign-born Blacks in the U.S.
Methods: We analyzed data on adult foreign-born Blacks in the 2010-2014 National Health Interview Survey which is a national in-person survey of non-institutionalized persons in the U.S. The main independent variable was psychological distress which was defined as a score of ≥ 12 on the Kessler Psychological Distress Scale (K-6 Scale) . The main outcome variable was diabetes. Multivariable logistic regression was performed to examine the association between psychological distress and diabetes prevalence adjusting for known confounders.
Results: A total of 2,974 foreign-born Blacks were included in this study. The mean age (±SE) was 43.9 (±15.3)and nearly half (53.3%) were female. Among the individuals who received the K-6 Scale, 13.3% indicated experiencing symptoms of depression within the last 30 days and 10% had diabetes. After adjusting for age, sex, body mass index, poverty status, and marital status, we observed that foreign-born Blacks with higher levels of psychological distress had 2.30 (95% CI: 1.69-3.12) higher odds of being diabetic in comparison to those without psychological distress.
Conclusion: In a sample of contemporary foreign-born Blacks in the U.S., we observed that psychological distress was associated with prevalence of diabetes, such that individuals with elevated levels of psychological distress were twice as likely to be diabetic. Additional barriers may be associated with managing diabetes when a co-morbid mental health condition such as depression is present. Thus, culturally-tailored behavioral health interventions should be developed and utilized among foreign-born Black sub-populations to help promote adherence to complex behavioral and medical regimens associated with diabetes management.
Author Disclosures: N. Ukonu: None. R. Turkson-Ocran: None. Y. Commodore-Mensah: None.
- © 2017 by American Heart Association, Inc.