PMID- 33385270
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20210818
IS  - 1557-1920 (Electronic)
IS  - 1557-1912 (Linking)
VI  - 23
IP  - 2
DP  - 2021 Apr
TI  - Depression Mediates Association Between Perceived Ethnic Discrimination and 
      Elevated Blood Glucose Levels Among Sub-Saharan African Migrants in Australia.
PG  - 199-206
LID - 10.1007/s10903-020-01131-1 [doi]
AB  - Depression and perceived ethnic discrimination (PED) are both implicated in type 
      2 diabetes mellitus (T2DM) risk in some migrant populations. The role of these 
      factors remains understudied in sub-Saharan African migrants, who comprise a 
      significant at-risk group for T2DM in Australia. To assess interactions between 
      PED, depression scores and elevated blood glucose levels among sub-Sahara African 
      immigrants in North-Eastern Australia. Face to face surveys were used to assess 
      PED and depressive tendencies in a purposive sample of 170 adults (aged 
      >/=18 year). Fasting blood glucose levels (FBGL) were measured at the time of 
      interviews. Prevalence of elevated FBGL (>/=6.1 mmol/L), PED and severe depression 
      (SD) were: 17.6% (n = 30), 14.7% (n = 25) and 18.8% (n = 32), respectively. 
      Prevalence of elevated FBGL, PED and SD were all higher in males than females. 
      The highest prevalence of elevated BGL, PED and SD each occurred in the 
      40-50 year age group. Strong positive correlations of both high level PED and SD 
      with elevated FBGL were observed. There was also a strong positive association 
      between PED and SD. Depression score was found to mediate partially the strong 
      association between PED and elevated FBGL (beta-value for PED dropped from beta = 0.452 
      to beta = 0.246, p < 0.01 and the associated between FBGL and SD remained strong 
      beta = 0.554, p < 0.01). The strong association between elevated FBGL and PED seems 
      to be moderated by SD, indicating that interventions to attenuate depression and 
      PED may be a useful adjunct to diabetes prevention programs in this population. 
      Interventions targeted to specific age groups may also be warranted.
FAU - Bilal, P I
AU  - Bilal PI
AD  - School of Allied Health, Faculty of Health Sciences, Australian Catholic 
      University, Fitzroy, Australia.
FAU - Chan, C K Y
AU  - Chan CKY
AD  - School of Psychology and Public Health, College of Science, Health and 
      Engineering, La Trobe University, Bundoora, VIC, Australia.
FAU - Somerset, S M
AU  - Somerset SM
AUID- ORCID: 0000-0002-4922-3593
AD  - Faculty of Health, University of Canberra, Bruce, ACT, Australia. 
      shawn.somerset@canberra.edu.au.
LA  - eng
PT  - Journal Article
DEP - 20210101
PL  - United States
TA  - J Immigr Minor Health
JT  - Journal of immigrant and minority health
JID - 101256527
RN  - 0 (Blood Glucose)
SB  - IM
MH  - Adult
MH  - Africa South of the Sahara
MH  - Australia/epidemiology
MH  - Blood Glucose
MH  - Depression
MH  - *Diabetes Mellitus, Type 2
MH  - Female
MH  - Humans
MH  - Male
MH  - *Transients and Migrants
OTO - NOTNLM
OT  - Depression
OT  - Migration
OT  - Perceived ethnic discrimination
OT  - Sub-Saharan African
OT  - Type II diabetes
EDAT- 2021/01/02 06:00
MHDA- 2021/08/19 06:00
CRDT- 2021/01/01 12:03
PHST- 2020/11/20 00:00 [accepted]
PHST- 2021/01/02 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2021/01/01 12:03 [entrez]
AID - 10.1007/s10903-020-01131-1 [pii]
AID - 10.1007/s10903-020-01131-1 [doi]
PST - ppublish
SO  - J Immigr Minor Health. 2021 Apr;23(2):199-206. doi: 10.1007/s10903-020-01131-1. 
      Epub 2021 Jan 1.