Psychological trauma symptoms and Type 2 diabetes prevalence, glucose control, and treatment modality among American Indians in the Strong Heart Family Study

Michelle M. Jacob, Kelly L. Gonzales, Darren Calhoun, Janette Beals, Clemma Jacobsen Muller, Jack Goldberg, Lonnie Nelson, Thomas K. Welty, Barbara V. Howard

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Aims The aims of this paper are to examine the relationship between psychological trauma symptoms and Type 2 diabetes prevalence, glucose control, and treatment modality among 3776 American Indians in Phase V of the Strong Heart Family Study. Methods This cross-sectional analysis measured psychological trauma symptoms using the National Anxiety Disorder Screening Day instrument, diabetes by American Diabetes Association criteria, and treatment modality by four categories: no medication, oral medication only, insulin only, or both oral medication and insulin. We used binary logistic regression to evaluate the association between psychological trauma symptoms and diabetes prevalence. We used ordinary least squares regression to evaluate the association between psychological trauma symptoms and glucose control. We used binary logistic regression to model the association of psychological trauma symptoms with treatment modality. Results Neither diabetes prevalence (22%-31%; p = 0.19) nor control (8.0-8.6; p = 0.25) varied significantly by psychological trauma symptoms categories. However, diabetes treatment modality was associated with psychological trauma symptoms categories, as people with greater burden used either no medication, or both oral and insulin medications (odds ratio = 3.1, p < 0.001). Conclusions The positive relationship between treatment modality and psychological trauma symptoms suggests future research investigate patient and provider treatment decision making.

Original languageEnglish (US)
Pages (from-to)553-557
Number of pages5
JournalJournal of Diabetes and Its Complications
Volume27
Issue number6
DOIs
StatePublished - Nov 2013
Externally publishedYes

Keywords

  • American Indians
  • Diabetes treatment modality
  • Psychological trauma symptoms

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