在低收入的墨西哥裔美国人中改善了抑郁症症状,他们参与了社区临床糖尿病干预
MinJae Lee1, Joseph H Conroy2, Zihan Yang1
1The University of Texas Health Science Center at Houston, USA.
Journal of primary care & community health
|July 30, 2025
概括
"健康与生活"干预措施显著减少了2型糖尿病的墨西哥裔美国成年人的抑郁症状. 这种慢性护理管理方法表明,它可以同时解决多种健康状况.
科学领域:
- 公共卫生 公共卫生
- 慢性疾病管理 慢性疾病管理
- 心理健康干预 心理健康干预
背景情况:
- 2型糖尿病 (T2DM) 和并发性抑郁症带来复杂的管理挑战,特别是在服务不足的人群中.
- "健康与生活"干预计划针对里奥格兰德山谷的墨西哥裔美国人,旨在通过社会支持和社区诊所联系改善糖尿病护理.
- 这项计划可能会为这些人口群体提供缓解抑郁症症状的途径.
研究的目的:
- 评估Salu y Vida干预措施在T2DM和并发性抑郁症的墨西哥裔美国成年人中减少抑郁症症状的有效性.
- 用患者健康问卷 (PHQ-9) 评估12个月内抑郁水平的变化.
主要方法:
- 一项涉及292名参与"健康与生活"计划的队列研究.
- 在基线,6个月和12个月使用PHQ-9评估抑郁症水平.
- 使用多变量纵向负双项回归分析来确定抑郁症得分的变化,PHQ-9得分≥5引发精神健康转诊.
主要成果:
- 具有PHQ-9分数≥5的参与者比例从基线时的36%降至6个月后的18% (调整后的风险比率=0.51,P<.001).
- 在基线临床抑郁症的参与者中 (n=121),平均PHQ-9得分在6个月后下降了45% (9.60至5.28),并在12个月后增加了22% (5.28至4.10).
- 在6个月和12个月观察到抑郁水平的统计学显著下降 (分别P <.001和P <.002).
结论:
- 参与"健康与生活"计划与患有糖尿病和并发性抑郁症的墨西哥裔美国成年人抑郁症症状的显著改善有关.
- 这项研究表明,综合性慢性护理管理干预措施的潜力可以有效地解决多种同时出现的慢性疾病.
- 这些发现支持了此类计划在改善弱势群体整体健康结果方面的实用性.
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