Depressive symptoms and diabetes self-management among rural older adults.

Abstract:

OBJECTIVES:To assess the association of depressive symptoms with diabetes self-management regimens among older adults with type 2 diabetes in a rural, ethnically diverse community. METHODS:Data from 696 rural older African Americans, American Indians, and whites were used to assess depressive symptoms (modified CES-D) and diabetes self-management (physical activity, blood glucose self-monitoring, self foot checks, following a healthful eating plan, and medication adherence). RESULTS:In bivariate analyses, high CES-D scores were associated with decreased adherence to a healthful eating plan and physical activity and increased foot checks; the latter 2 remained significant in multivariate analyses. CONCLUSIONS:Older adults with diabetes and depression are less likely to adhere to self-management, increasing their risk of complications.

journal_name

Am J Health Behav

authors

Bell RA,Andrews JS,Arcury TA,Snively BM,Golden SL,Quandt SA

doi

10.5993/ajhb.34.1.5

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

36-44

issue

1

eissn

1087-3244

issn

1945-7359

pii

10.5555/ajhb.2010.34.1.36

journal_volume

34

pub_type

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