The Prevalence and Correlates of Mental and Emotional Health Among American Indian Adults With Type 2 Diabetes

Diabetes Educ. 2014 May;40(3):319-328. doi: 10.1177/0145721714524282. Epub 2014 Feb 21.

Abstract

Aims: The purpose of this study was to examine the prevalence and correlates of mental and emotional health factors among a sample of American Indian (Indigenous) adults diagnosed with type 2 diabetes.

Methods: Data are from a community-based participatory research project involving 2 Indigenous reservation communities. Data were collected from 218 Indigenous adults diagnosed with type 2 diabetes via in-person paper-and-pencil survey interviews.

Results: Reports of greater numbers of mental/emotional health problems were associated with increases in self-reported hyperglycemia, comorbid health problems, and health-impaired physical activities.

Conclusions: This study addresses a gap in the literature by demonstrating the associations between various mental/emotional health factors and diabetes-related health problems for Indigenous Americans. Findings underscore the importance of holistic, integrated primary care models for more effective diabetes care.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Affective Symptoms / epidemiology*
  • Affective Symptoms / ethnology
  • Affective Symptoms / etiology
  • Community-Based Participatory Research
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Humans
  • Hyperglycemia / epidemiology*
  • Hyperglycemia / ethnology
  • Hyperglycemia / etiology
  • Indians, North American / psychology*
  • Male
  • Mental Disorders / epidemiology*
  • Mental Disorders / ethnology
  • Mental Disorders / etiology
  • Middle Aged
  • Minnesota / epidemiology
  • Prevalence
  • Self Report