ArticleJournal of primary care & community health
Improved Depression Symptoms Among Low-Income Mexican Americans Participating in a Community-Clinical Diabetes Intervention.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundAdults with type 2 diabetes mellitus and comorbid depression face complex disease management. Salud y Vida, a diabetes management intervention for Mexican Americans in the Rio Grande Valley of Texas, may mitigate depression through social support and community-clinic referrals.
methodsIn a cohort study, 292 Salud y Vida participants completed the patient health questionnaire (PHQ-9) at baseline, month 6, and month 12. A PHQ-9 score of ≥5 indicated mild depression and activated a mental health referral. Using SAS 9.4 with significance set at <.05, we conducted multivariable longitudinal negative binomial regression to assess changes in depression level.
resultsThe proportion of participants with a PHQ-9 ≥5 decreased from 36% at baseline to 18% in month 6 (adjusted risk ratio = 0.51, 95% CI = 0.41-0.62;
conclusionSalud y Vida participation is correlated with significant depression symptom improvements in Mexican American adults with diabetes and comorbid depression, demonstrating that chronic care management interventions can address multiple chronic conditions.
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