Skip to main content
Open Access Publications from the University of California

Underdiagnosed and undertreated depression among racially/ethnically diverse patients with type 2 diabetes.

  • Author(s): Sorkin, Dara H;
  • Ngo-Metzger, Quyen;
  • Billimek, John;
  • August, Kristin J;
  • Greenfield, Sheldon;
  • Kaplan, Sherrie H
  • et al.

To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes.

Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an observational study.

Vietnamese American (133, 59.4%) and Mexican American (351, 50.2%) patients were more likely to report symptoms consistent with clinical depression (Center for Epidemiological Studies Depression [CES-D] scale score ≥ 22) than non-Hispanic whites (119, 41.6%; F [2, 1206] = 8.05, P < 0.001). Despite comparable diabetes care, Vietnamese and Mexican patients with high depressive symptoms were less likely to be diagnosed and treated than non-Hispanic whites (all P values < 0.001). Minority patients who reported low levels of trust in their provider were less likely to have been diagnosed or treated for depression (adjusted odds ratio 0.65, 95% CI 0.44-0.98, P < 0.05).

Innovative strategies are needed to improve recognition of depressive symptoms in minority patients.

Main Content
For improved accessibility of PDF content, download the file to your device.
Current View