Faculty, Staff and Student Publications
Language
English
Publication Date
1-1-2025
Journal
Journal of Primary Care & Community Health
DOI
10.1177/21501319251358631
PMID
40737105
PMCID
PMC12317164
PubMedCentral® Posted Date
7-30-2025
PubMedCentral® Full Text Version
Post-print
Abstract
Background: Adults with type 2 diabetes mellitus and comorbid depression face complex disease management. Salud y Vida, a diabetes management intervention for Mexican Americans in the Rio Grande Valley of Texas, may mitigate depression through social support and community-clinic referrals.
Methods: In a cohort study, 292 Salud y Vida participants completed the patient health questionnaire (PHQ-9) at baseline, month 6, and month 12. A PHQ-9 score of ≥5 indicated mild depression and activated a mental health referral. Using SAS 9.4 with significance set at < .05, we conducted multivariable longitudinal negative binomial regression to assess changes in depression level.
Results: The proportion of participants with a PHQ-9 ≥5 decreased from 36% at baseline to 18% in month 6 (adjusted risk ratio = 0.51, 95% CI = 0.41-0.62; P < .001). Among those with clinical depression at baseline (n = 121), mean PHQ-9 scores dropped 45% by month 6 (9.60-5.28; adjusted rate ratio = 0.55; 95% CI = 0.47, 0.65, P < .001) and an additional 22% by month 12 (5.28-4.10; adjusted rate ratio = 0.78; 95% CI = 0.66, 0.91; P < .002).
Conclusion: Salud y Vida participation is correlated with significant depression symptom improvements in Mexican American adults with diabetes and comorbid depression, demonstrating that chronic care management interventions can address multiple chronic conditions.
Keywords
Humans, Mexican Americans, Female, Male, Middle Aged, Depression, Texas, Diabetes Mellitus, Type 2, Poverty, Social Support, Adult, Aged, Patient Health Questionnaire, Cohort Studies, White, diabetes mellitus, depression, underserved communities, behavioral health, lifestyle change
Published Open-Access
yes
Recommended Citation
Lee, MinJae; Conroy, Joseph H; Yang, Zihan; et al., "Improved Depression Symptoms Among Low-Income Mexican Americans Participating in a Community-Clinical Diabetes Intervention" (2025). Faculty, Staff and Student Publications. 1244.
https://digitalcommons.library.tmc.edu/uthsph_docs/1244