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(PDF) Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes | Casandra Almonte - Academia.edu
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2) to evaluate associations among discrimination experiences and their burden with" /> <title>(PDF) Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes | Casandra Almonte - Academia.edu</title> <link rel="canonical" href="https://www.academia.edu/76339575/Discrimination_and_Depression_among_Urban_Hispanics_with_Poorly_Controlled_Diabetes" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-5VKX33P2DS"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-5VKX33P2DS', { cookie_domain: 'academia.edu', send_page_view: false, }); gtag('event', 'page_view', { 'controller': "single_work", 'action': "show", 'controller_action': 'single_work#show', 'logged_in': 'false', 'edge': 'unknown', // Send nil if there is no A/B test bucket, in case some records get logged // with missing data - that way we can distinguish between the two cases. // ab_test_bucket should be of the form <ab_test_name>:<bucket> 'ab_test_bucket': null, }) </script> <script> var $controller_name = 'single_work'; 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2) to evaluate associations among discrimination experiences and their burden with comorbid depression among Hispanics with poorly controlled diabetes; and 3) to evaluate whether discrimination encountered in the health care context itself was associated with comorbid depression for Hispanic adults with diabetes. We conducted a cross-sectional analysis of baseline data of a randomized controlled trial (RCT). We collected data in the context of an RCT in a clinical setting in New York City. Our sample comprised 221 urban-dwelling Hispanics, largely of Caribbean origin. The main outcome measure was major depression, measured by the Euro-D (score \u0026amp;amp;gt; 3). Of 221 participants, 58.8% reported at least one experience of everyday discrimination, and 42.5% reported at least one major experience of discrimination. Depression was ass...","author":[{"@context":"https://schema.org","@type":"Person","name":"Casandra Almonte"}],"contributor":[],"dateCreated":"2022-04-13","dateModified":"2022-04-13","datePublished":"2015-01-01","headline":"Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes","inLanguage":"en","keywords":["Racism","Urban Health","Medicine","Humans","New York City","Female","Male","Depressive Disorder","Aged","Prevalence","Middle Aged","Adult","Public health systems and services research","Type 2 Diabetes Mellitus","Cross Sectional Studies"],"locationCreated":null,"publication":"Ethnicity \u0026 Disease","publisher":{"@context":"https://schema.org","@type":"Organization","name":null},"image":null,"thumbnailUrl":null,"url":"https://www.academia.edu/76339575/Discrimination_and_Depression_among_Urban_Hispanics_with_Poorly_Controlled_Diabetes","sourceOrganization":[{"@context":"https://schema.org","@type":"EducationalOrganization","name":"columbia"}]}</script><link rel="stylesheet" media="all" href="//a.academia-assets.com/assets/single_work_page/loswp-102fa537001ba4d8dcd921ad9bd56c474abc201906ea4843e7e7efe9dfbf561d.css" /><link rel="stylesheet" media="all" href="//a.academia-assets.com/assets/design_system/body-8d679e925718b5e8e4b18e9a4fab37f7eaa99e43386459376559080ac8f2856a.css" /><link rel="stylesheet" media="all" href="//a.academia-assets.com/assets/design_system/button-3cea6e0ad4715ed965c49bfb15dedfc632787b32ff6d8c3a474182b231146ab7.css" /><link rel="stylesheet" media="all" 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We conducted a cross-sectional analysis of baseline data of a randomized controlled trial (RCT). We collected data in the context of an RCT in a clinical setting in New York City. Our sample comprised 221 urban-dwelling Hispanics, largely of Caribbean origin. The main outcome measure was major depression, measured by the Euro-D (score \u0026gt; 3). Of 221 participants, 58.8% reported at least one experience of everyday discrimination, and 42.5% reported at least one major experience of discrimination. Depression was ass...","publication_date":"2015,,","publication_name":"Ethnicity \u0026 Disease"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [44467734]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "full_page_mobile_sutd_modal"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":84077312,"attachmentType":"pdf"}"><img alt="First page of “Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/84077312/mini_magick20220413-27568-1kmee3g.png?1649864002" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="44467734" href="https://columbia.academia.edu/CasandraAlmonte"><img alt="Profile image of Casandra Almonte" class="ds-work-card--author-avatar" src="https://0.academia-photos.com/44467734/11832805/14274249/s65_casandra.almonte.jpg" />Casandra Almonte</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2015, Ethnicity & Disease</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">16 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 76339575; 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We conducted a cross-sectional analysis of baseline data of a randomized controlled trial (RCT). We collected data in the context of an RCT in a clinical setting in New York City. Our sample comprised 221 urban-dwelling Hispanics, largely of Caribbean origin. The main outcome measure was major depression, measured by the Euro-D (score &gt; 3). Of 221 participants, 58.8% reported at least one experience of everyday discrimination, and 42.5% reported at least one major experience of discrimination. Depression was ass...</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--work-card","attachmentId":84077312,"attachmentType":"pdf","workUrl":"https://www.academia.edu/76339575/Discrimination_and_Depression_among_Urban_Hispanics_with_Poorly_Controlled_Diabetes"}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--work-card","attachmentId":84077312,"attachmentType":"pdf","workUrl":"https://www.academia.edu/76339575/Discrimination_and_Depression_among_Urban_Hispanics_with_Poorly_Controlled_Diabetes"}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div></div><div data-auto_select="false" data-client_id="331998490334-rsn3chp12mbkiqhl6e7lu2q0mlbu0f1b" data-doc_id="84077312" data-landing_url="https://www.academia.edu/76339575/Discrimination_and_Depression_among_Urban_Hispanics_with_Poorly_Controlled_Diabetes" data-login_uri="https://www.academia.edu/registrations/google_one_tap" data-moment_callback="onGoogleOneTapEvent" id="g_id_onload"></div><div class="ds-top-related-works--grid-container"><div class="ds-related-content--container ds-top-related-works--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="0" data-entity-id="81239999" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/81239999/Everyday_Discrimination_Diabetes_Related_Distress_and_Depressive_Symptoms_Among_African_Americans_and_Latinos_with_Diabetes">Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes</a><div 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class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="103872608" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/103872608/A_Framework_for_Addressing_Diabetes_Related_Disparities_in_US_Latino_Populations">A Framework for Addressing Diabetes-Related Disparities in US Latino Populations</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="274960877" href="https://independent.academia.edu/IvanMarquez147">Ivan Marquez</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of community health, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">Despite national efforts to redress racial/ethnic disparities, Latino Americans continue to share a disproportionate burden of diabetes-related morbidity and mortality. A better understanding of underlying causes and influencing factors is needed to guide future efforts to eliminate racial/ethnic disparities in diabetes control. The objectives of this review are: (1) to summarize our understanding of determinants and modifiable predictors of glycemic control; (2) to provide an overview of existing strategies to reduce diabetes-related disparities; and (3) to identify gaps in the literature regarding whether these interventions effectively address disparities in US Latino populations. Key findings include evidence that diabetes care services can be designed to accommodate heterogeneity within the Latino American community by addressing key modifiable predictors of poor glycemic control, including insurance status, diabetes care utilization, patient self-management, language access, c...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"A Framework for Addressing Diabetes-Related Disparities in US Latino Populations","attachmentId":103757393,"attachmentType":"pdf","work_url":"https://www.academia.edu/103872608/A_Framework_for_Addressing_Diabetes_Related_Disparities_in_US_Latino_Populations","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/103872608/A_Framework_for_Addressing_Diabetes_Related_Disparities_in_US_Latino_Populations"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="15970737" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/15970737/Perceived_discrimination_psychological_distress_and_health">Perceived discrimination, psychological distress and health</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="35122671" href="https://tufts.academia.edu/LoriPrice">Lori Price</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Sociology of Health & Illness, 2010</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Perceived discrimination, psychological distress and health","attachmentId":42801849,"attachmentType":"pdf","work_url":"https://www.academia.edu/15970737/Perceived_discrimination_psychological_distress_and_health","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/15970737/Perceived_discrimination_psychological_distress_and_health"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="30112700" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/30112700/The_Effects_of_Perceived_Discrimination_on_Diabetes_Management">The Effects of Perceived Discrimination on Diabetes Management</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="32617402" href="https://independent.academia.edu/GriffithDerek">Derek Griffith</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Health Care for the Poor and Underserved, 2008</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The Effects of Perceived Discrimination on Diabetes Management","attachmentId":50575549,"attachmentType":"pdf","work_url":"https://www.academia.edu/30112700/The_Effects_of_Perceived_Discrimination_on_Diabetes_Management","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/30112700/The_Effects_of_Perceived_Discrimination_on_Diabetes_Management"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="4221485" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/4221485/Perceived_discrimination_psychological_distress_and_health_Perceived_discrimination_psychological_distress_and_health">Perceived discrimination, psychological distress and health: Perceived discrimination, psychological distress and health</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="488442" href="https://uml.academia.edu/LuisMFalcon">Luis M Falcon</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Sociology of Health & Illness, 2010</p><p class="ds-related-work--abstract ds2-5-body-sm">Racism and discrimination can have significant implications for health, through complex biopsychosocial interactions. Latino groups, and particularly Puerto Ricans, are an understudied population in the United States in terms of the prevalence of discrimination and its relevance to health. Participants in our study were 45- to 75-year-old (N = 1122) Puerto Ricans. The measures were perceived discrimination, depressive symptomatology (CES-D), perceived stress (PSS), self-rated health, medical conditions, blood pressure, smoking and drinking behaviours, demographics. Our findings show that 36.9 per cent of participants had at some time experienced discrimination, with men, those with more years of education, currently employed and with higher incomes being more likely to report it. Experiences of discrimination were associated with increased levels of depressive symptoms and perceived stress. When controlling for covariates, perceived discrimination was predictive of the number of medical conditions, of ever having smoked and having been a drinker, and having higher values of diastolic pressure. Depressive symptoms are a mediator of the effect of perceived discrimination on medical conditions, confirmed by the Sobel test: z = 3.57, p < 0.001. Mediating roles of perceived stress, smoking and drinking behaviours were not confirmed. Increased depressive symptoms might be the main pathway through which perceived discrimination is associated with a greater number of medical diagnoses.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Perceived discrimination, psychological distress and health: Perceived discrimination, psychological distress and health","attachmentId":49980884,"attachmentType":"pdf","work_url":"https://www.academia.edu/4221485/Perceived_discrimination_psychological_distress_and_health_Perceived_discrimination_psychological_distress_and_health","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/4221485/Perceived_discrimination_psychological_distress_and_health_Perceived_discrimination_psychological_distress_and_health"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":84077312,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":84077312,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_84077312" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="84478320" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/84478320/The_Association_between_Multiple_Domains_of_Discrimination_and_Self_assessed_Health_A_Multilevel_Analysis_of_Latinos_and_Blacks_in_Four_Low_Income_New_York_City_Neighborhoods">The Association between Multiple Domains of Discrimination and Self-assessed Health: A Multilevel Analysis of Latinos and Blacks in Four Low-Income New York City Neighborhoods</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" 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