This study contributes valuable information to the growing body of literature on diabetes, depression, and healthcare utilization by examining these relationships in a currently understudied population, namely African-American primary care patients. In contrast to many previous studies with predominantly white samples that found a positive association between diabetes and depression, no association was found in [...]

Continue reading " DIABETES, DEPRESSION, AND HEALTHCARE UTILIZATION: DISCUSSION "

Between Individuals with and Without Diabetes Table 1 compares African-American patients with and without diabetes in this sample. The two groups did not differ significantly on age, gender, or TennCare (Medicaid) enrollment. However, group differences in income and education were observed, with lower levels of income and lower rates of high-school graduation among individuals with [...]

Continue reading " DIABETES, DEPRESSION, AND HEALTHCARE UTILIZATION: RESULTS "

Sample The data were collected as part of a larger study on patients in family and internal medicine in the Meharry Medical Practice Plan (MMPP) primary care clinic, at Meharry Medical College in Nashville, TN, which serves the local low-income, largely Medicaid-eligible population. The study enrolled new and existing patients who presented for primary care. [...]

Continue reading " DIABETES, DEPRESSION, AND HEALTHCARE UTILIZATION: RESEARCH DESIGN AND METHODS "

Racial/ethnic minorities and the economically disadvantaged are at increased risk for diabetes. For example, 13% of African Americans have diabetes, compared to 6.2% of the general U.S. population. Deaths from diabetes and certain types of diabetes complications are more common among African Americans than among whites. The association between low socioeconomic status and diabetes risk [...]

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Family physicians deliver a range of services within preventive patient care. Preventive care is provided on an individual basis, generally in an opportunistic manner. However, it is widely accepted that applying a population-based approach would result in more effective and measurable preventive outcomes, and the community-based approach in primary care is central to the principles [...]

Continue reading " Primary care and population health promotion "