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Depressive symptoms and diabetes self-management among rural older adults
Ronny A Bell1, Jeanette S Andrews, Thomas A Arcury
1Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1063, USA. rbell@wfubmc.edu
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.
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