PubMed:26118138 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/26118138","sourcedb":"PubMed","sourceid":"26118138","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/26118138","text":"Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes.\nOBJECTIVES: We had three objectives for our study: 1) to describe the prevalence and burden of experiences of discrimination among Hispanics with poorly controlled diabetes; 2) to evaluate associations among discrimination experiences and their burden with comorbid depression among Hispanics with poorly controlled diabetes; and 3) to evaluate whether discrimination encountered in the health care context itself was associated with comorbid depression for Hispanic adults with diabetes.\nDESIGN: We conducted a cross-sectional analysis of baseline data of a randomized controlled trial (RCT).\nSETTING: We collected data in the context of an RCT in a clinical setting in New York City.\nPARTICIPANTS: Our sample comprised 221 urban-dwelling Hispanics, largely of Caribbean origin.\nMAIN OUTCOME MEASURES: The main outcome measure was major depression, measured by the Euro-D (score \u003e 3).\nRESULTS: Of 221 participants, 58.8% reported at least one experience of everyday discrimination, and 42.5% reported at least one major experience of discrimination. Depression was associated significantly with counts of experiences of major discrimination (OR = 1.46, 95% CI = 1.09 - 1.94, P = .01), aggregate counts of everyday and major discrimination (OR = 1.13, 95% CI = 1.02 - 1.26, P = .02), and the experience of discrimination in getting care for physical health (OR = 6.30, 95% CI= 1.10-36.03).\nCONCLUSIONS: Discrimination may pose a barrier to getting health care and may be associated with depression among Hispanics with diabetes. Clinicians treating Caribbean-born Hispanics should be aware that disadvantage and discrimination likely complicate a presentation of diabetes.","tracks":[{"project":"luoyt2021_800_3","denotations":[{"id":"T1","span":{"begin":19,"end":29},"obj":"DP"},{"id":"T2","span":{"begin":1572,"end":1582},"obj":"DP"},{"id":"T3","span":{"begin":1136,"end":1146},"obj":"DP"},{"id":"T4","span":{"begin":923,"end":933},"obj":"DP"},{"id":"T5","span":{"begin":528,"end":538},"obj":"DP"},{"id":"T6","span":{"begin":351,"end":361},"obj":"DP"},{"id":"T7","span":{"begin":75,"end":83},"obj":"DP"},{"id":"T8","span":{"begin":1748,"end":1756},"obj":"DP"},{"id":"T9","span":{"begin":1604,"end":1612},"obj":"DP"},{"id":"T10","span":{"begin":564,"end":572},"obj":"DP"},{"id":"T11","span":{"begin":401,"end":409},"obj":"DP"},{"id":"T12","span":{"begin":249,"end":257},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T2","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T3","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T4","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T5","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T6","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T7","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T8","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T9","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T10","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T11","pred":"source","obj":"luoyt2021_800_3"},{"subj":"T12","pred":"source","obj":"luoyt2021_800_3"}]},{"project":"Linmchun_800_3","denotations":[{"id":"T1","span":{"begin":75,"end":83},"obj":"DP"},{"id":"T2","span":{"begin":564,"end":572},"obj":"DP"},{"id":"T3","span":{"begin":249,"end":257},"obj":"DP"},{"id":"T4","span":{"begin":401,"end":409},"obj":"DP"},{"id":"T5","span":{"begin":1604,"end":1612},"obj":"DP"},{"id":"T6","span":{"begin":1748,"end":1756},"obj":"DP"},{"id":"T7","span":{"begin":19,"end":29},"obj":"DP"},{"id":"T8","span":{"begin":351,"end":361},"obj":"DP"},{"id":"T9","span":{"begin":528,"end":538},"obj":"DP"},{"id":"T10","span":{"begin":923,"end":933},"obj":"DP"},{"id":"T11","span":{"begin":1136,"end":1146},"obj":"DP"},{"id":"T12","span":{"begin":1572,"end":1582},"obj":"DP"}],"attributes":[{"subj":"T1","pred":"source","obj":"Linmchun_800_3"},{"subj":"T2","pred":"source","obj":"Linmchun_800_3"},{"subj":"T3","pred":"source","obj":"Linmchun_800_3"},{"subj":"T4","pred":"source","obj":"Linmchun_800_3"},{"subj":"T5","pred":"source","obj":"Linmchun_800_3"},{"subj":"T6","pred":"source","obj":"Linmchun_800_3"},{"subj":"T7","pred":"source","obj":"Linmchun_800_3"},{"subj":"T8","pred":"source","obj":"Linmchun_800_3"},{"subj":"T9","pred":"source","obj":"Linmchun_800_3"},{"subj":"T10","pred":"source","obj":"Linmchun_800_3"},{"subj":"T11","pred":"source","obj":"Linmchun_800_3"},{"subj":"T12","pred":"source","obj":"Linmchun_800_3"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"luoyt2021_800_3","color":"#ec93de","default":true},{"id":"Linmchun_800_3","color":"#93ece0"}]}]}}