Diabetes distress was significantly associated with higher A1c levels (b=0.037, p=0.001) among rural Dominican adults with diabetes, with women reporting more psychosocial distress than men.
Is psychosocial distress associated with A1c levels and gender among adults with diabetes in the rural Dominican Republic?
Diabetes distress is significantly associated with higher A1c levels in rural Dominican adults, and women experience higher severity of psychosocial distress than men, highlighting the need for integrated mental health care in diabetes management.
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Introduction There is evidence of the relationship between psychosocial distress and elevated blood glucose levels. However, data in the Dominican Republic is limited. The study aims to measure the prevalence of four types of psychosocial distress, assess their associations with A1c levels and stratify these associations by gender among rural Dominican adults with diabetes. Methods Between June-July 2023, 501 diabetes patients participated in a cross-sectional survey measuring psychosocial distress (e.g., diabetes distress, depressive symptoms, acute stress, anxiety). Descriptive analyses were conducted to determine prevalence of psychosocial distress, linear regression was run on psychosocial distress and A1c levels, and logistic regression was run to examine psychosocial distress levels by gender. Results Participants reported mild-to-moderate levels of psychosocial distress. Almost a fifth of participants reported high levels of depressive symptoms (20.2%) and acute stress (22.0%). Only diabetes distress was significantly associated with A1c levels (b = 0.037, SE = 0.009, p = 0.001). Men were significantly less likely to report moderate-to-severe depressive symptoms (OR:2.35; CI:1.51–3.66), anxiety (OR:3.07; CI:1.52–6.19), and acute stress (OR:2.13; CI:1.51–3.66) than women. Conclusion Prevalence of psychosocial distress varies by type, and severity varies by gender. Diabetes distress is associated with diabetes outcomes. Findings highlight the importance of addressing psychological distress and mental health in the context of diabetes care.
Leos et al. (Mon,) reported a other. Diabetes distress was significantly associated with higher A1c levels (b=0.037, p=0.001) among rural Dominican adults with diabetes, with women reporting more psychosocial distress than men.