Depressive symptoms in African-American type 1 diabetics

Depress Anxiety. 2001;13(1):28-31. doi: 10.1002/1520-6394(2001)13:1<28::aid-da4>;2-g.


This study examined depressive symptoms and their correlates in African-American patients with type 1 diabetes. Five-hundred eighty-one diabetics participated in a study on risk factors for retinopathy in African-Americans with type 1 diabetes. Evaluations included structured interview, ocular examination, blood test, and completion of the Beck Depression Inventory (BDI). Among the 581 diabetic patients, 159 (26.9%) had a BDI score > 14. Significantly more of these patients were unemployed, had less education, lower socio-economic status, and less personal and family income than those who had a BDI < or = 14. Also, significantly more patients with a BDI score > 14 had proliferative retinopathy and were receiving disability payments. In the multiple logistic regression, two factors that significantly and independently associated with the BDI score > 14 were unemployment or not working due to disability. Both socio-economic and diabetic variables are associated with depressive symptoms among African-American patients with type 1 diabetes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans / psychology*
  • African Americans / statistics & numerical data*
  • Depression / diagnosis
  • Depression / ethnology*
  • Depression / etiology*
  • Diabetes Mellitus, Type 1 / ethnology*
  • Diabetes Mellitus, Type 1 / psychology*
  • Female
  • Health Status
  • Humans
  • Male
  • Psychiatric Status Rating Scales
  • Severity of Illness Index
  • Socioeconomic Factors