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Psychosocial Distress and Type 2 Diabetes among Adults in Rural Dominican Republic: A Descriptive Study
Deshira D Wallace1, Quetzabel Benavides Navarrete1, Tatiana Aguilar1
1Department of Health Behavior, University of North Carolina at Chapel Hill, 302 Rosenau Hall, CB 7440, Chapel Hill, NC 27599, USA.
Summary
Psychosocial distress, particularly diabetes distress, is linked to higher A1c levels in rural Dominicans with diabetes. Women reported higher distress than men, emphasizing the need for integrated mental health care.
Area of Science:
- Endocrinology
- Psychiatry
- Public Health
Background:
- Psychosocial distress is linked to elevated blood glucose levels.
- Limited data exists on psychosocial distress and diabetes in the Dominican Republic.
- Understanding these factors is crucial for effective diabetes management.
Purpose of the Study:
- To determine the prevalence of four types of psychosocial distress in rural Dominican adults with diabetes.
- To assess the association between psychosocial distress and A1c levels.
- To stratify these associations by gender.
Main Methods:
- A cross-sectional survey was conducted among 501 diabetes patients in June-July 2023.
- Psychosocial distress was measured using scales for diabetes distress, depressive symptoms, acute stress, and anxiety.
- Statistical analyses included descriptive statistics, linear regression, and logistic regression.
Main Results:
- Participants reported mild-to-moderate psychosocial distress, with nearly 20% experiencing high depressive symptoms or acute stress.
- Only diabetes distress showed a significant association with A1c levels (b=0.037, p=0.001).
- Women were more likely than men to report moderate-to-severe depressive symptoms, anxiety, and acute stress.
Conclusions:
- Prevalence and severity of psychosocial distress in rural Dominican adults with diabetes vary by type and gender.
- Diabetes distress is significantly associated with diabetes outcomes (A1c levels).
- Addressing psychological distress and mental health is vital for comprehensive diabetes care in this population.
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