Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Racial differences in the discussion and treatment of depressive symptoms accompanying type 2 diabetes.

Wagner JA, Perkins DW, Piette JD, Lipton B, Aikens JE. Racial differences in the discussion and treatment of depressive symptoms accompanying type 2 diabetes. Diabetes research and clinical practice. 2009 Nov 1; 86(2):111-6.

Related HSR&D Project(s)

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


OBJECTIVE: To compare rates of discussion of and treatment for depression among African Americans and Whites with diabetes. METHODS: Measures of diabetes status, depressive symptoms, and history of discussing and being treated for depression were collected from 56 adults with elevated depressive symptoms accompanying diabetes who were drawn from a larger study of type 2 diabetes. RESULTS: Analyses adjusted for confounders and multiple tests indicated that relative to Whites, African Americans were 6-12 times less likely to have ever: discussed depression with anyone (p = .007), discussed depression with their primary care physician (p = .008), been prescribed an antidepressant (p = .002), and they were 25 times less likely to have seen a psychiatrist (p = .003). There were no significant differences in discussing depression with clergypersons, or family members/friends. CONCLUSIONS: Compared to their White counterparts, African Americans with depressive symptoms accompanying diabetes are unlikely to discuss depression with healthcare professionals, be prescribed antidepressant medication, or be seen by a psychiatrist. Minority diabetes patients'' medical and psychiatric outcomes may improve if healthcare providers more actively initiate these discussions, provide culturally tailored education about the nature of depression and its management, incorporate patient preferences into treatment plans, and establish relationships with persons more likely to learn about African American patient symptoms.

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.