Ethnicity & disease · 2025
Psychological Factors and Prevalence of Diabetes and Prediabetes in a United States-Mexico Border Community.
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McCurley Jessica L, Naranjo Jesus A, Jiménez Rebeca A, Peña Juan M, Burgos Jose L, Vargas-Ojeda Adriana Carolina, Ojeda Victoria D, Roesch Scott, Mills Paul J, Araneta Maria Rosario, Talavera Gregory A, Gallo Linda C
Аннотация
BACKGROUND: Domestic and international migrants along the United States-Mexico border are at increased risk for diabetes due to structural and psychosocial adversities.
OBJECTIVES: This study assessed the prevalence of diabetes and prediabetes in a low-income United States-Mexico border community; examined the relationships between depression, anxiety, andadverse childhood experiences (ACEs) and diabetes prevalence and glucose regulation; and explored indirect effects of social support on these relationships. Results. Participants were 220 adults ages 19-83 years (M.47.2, SD.11.9) of majority Mexican nationality (89.1%). Over 70% reported history of migration to the United States; 56.8% reported deportation from the United States to Mexico. Prevalences of clinically significant depression and anxiety symptoms were 36.9% and 33.3%, respectively. Prevalences of diabetes and prediabetes were 17.3% and 29.1%, respectively. Psychological variables were not associated with diabetes or glucose regulation. Indirect effects were found from depression and ACEs through social support to hemoglobin A1c.
CONCLUSIONS: Results suggest the need for diabetes prevention interventions with an integrated biopsychosocial approach.
OBJECTIVES: This study assessed the prevalence of diabetes and prediabetes in a low-income United States-Mexico border community; examined the relationships between depression, anxiety, andadverse childhood experiences (ACEs) and diabetes prevalence and glucose regulation; and explored indirect effects of social support on these relationships. Results. Participants were 220 adults ages 19-83 years (M.47.2, SD.11.9) of majority Mexican nationality (89.1%). Over 70% reported history of migration to the United States; 56.8% reported deportation from the United States to Mexico. Prevalences of clinically significant depression and anxiety symptoms were 36.9% and 33.3%, respectively. Prevalences of diabetes and prediabetes were 17.3% and 29.1%, respectively. Psychological variables were not associated with diabetes or glucose regulation. Indirect effects were found from depression and ACEs through social support to hemoglobin A1c.
CONCLUSIONS: Results suggest the need for diabetes prevention interventions with an integrated biopsychosocial approach.