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Diabetes Care Publish Ahead of Print published online ahead of print December 10, 2007
DOI: 10.2337/dc07-2044
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Original Research

Stress Burden and Diabetes in Two American Indian Reservation Communities

Luohua Jiang, Ph.D.1, Janette Beals, Ph.D.1, Nancy R. Whitesell, Ph.D.1, Yvette Roubideaux, MD, MPH.2, Spero M. Manson, Ph.D. the AI-SUPERPFP Team1

1American Indian and Alaska Native Programs, University of Colorado Denver
2Family and Community Medicine, University of Arizona

Luohua.Jiang{at}uchsc.edu

ABSTRACT

Objective: To examine the association between psychosocial stress and diabetes in two American Indian reservation communities (Northern Plains and Southwest).

Methods: The American Indian Services Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP), a cross-sectional probability sample survey, interviewed 3,084 randomly selected members of two American Indian tribal groups. Included were a psychiatric epidemiological interview, a physical health problems checklist, and an extensive sociodemographic section.

Results: Stress was common in these reservation communities, and the stress burden was greater among those with diabetes. After adjusting for sociodemographic characteristics, early-life interpersonal trauma and community family dysfunction were significantly associated with increased odds of diabetes in the Northern Plains, while discrimination and community addiction problems were significantly associated with increased odds of diabetes in the Southwest.

Conclusions: A number of psychosocial stresses were significantly associated with increased odds of self-reported diabetes in these two American Indian communities.


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Copyright © 2007 by the American Diabetes Association.