@article{ref1,
title="Sociodemographic factors associated with major depressive episodes and suicidal ideation among emerging adults with diabetes in the U.S",
journal="Frontiers in endocrinology",
year="2023",
author="Yadav, Sandhya and Hong, Young-Rock and Westen, Sarah and Marlow, Nicole M. and Haller, Michael J. and Walker, Ashby F.",
volume="14",
number="",
pages="e1276336-e1276336",
abstract="BACKGROUND: Research focused on disparities related to mental health comorbidities, especially among emerging adults with diabetes, is limited. Identifying associated factors of disparities could inform policy decisions to make diabetes-related interdisciplinary care more accessible for vulnerable groups. <br><br>METHOD: Using data from the National Survey on Drug Use and Health (2015-2019), we examined disparities in presence of major depressive episode (MDE) and suicidal ideation among emerging adults with diabetes. Survey design-adjusted bivariate and multivariable logistic regression models were used for statistical analyses. <br><br>RESULTS: The study included 1,125 emerging adults (18-25 years old), with a history of type 1 diabetes (T1D) or type 2 diabetes (T2D). After controlling for sociodemographic and health-related characteristics, we found lower odds of having past-year major MDE for non-Hispanic Black (AOR, 0.42, p=0.032) compared to their non-Hispanic White counterparts. Females were 3.02 times more likely to have past-year MDE than males (AOR, 3.02, p=0.004). The odds of having past-year MDE were 1.96 times higher among individuals who identified as LGB (lesbian, gay, bisexual) (AOR, 1.96, P=0.038). There were no statistically significant disparities in suicidal ideation related to race/ethnicity, sex, education, and family income. However, individuals who identified as LGB had significantly higher likelihood of suicidal ideation than their heterosexual counterparts (AOR, 2.47, P=0.004). <br><br>CONCLUSION: Significant disparities related to MDE and suicidal ideation exist based on race/ethnicity, gender, and sexual orientation. Integration of a mental health professional into the multidisciplinary diabetes care team is critical for effective management of comorbid mental health conditions in younger patients with diabetes.<p /> <p>Language: en</p>",
language="en",
issn="1664-2392",
doi="10.3389/fendo.2023.1276336",
url="http://dx.doi.org/10.3389/fendo.2023.1276336"
}