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Journal article

Urban environmental threat moderates the relationship between depression and insulin resistance among Latinxs with type 2 diabetes

Abstract:
As the largest minoritised ethnic group in the United States, Latinxs face a greater risk for type 2 diabetes and depression. The aim of the present study was to explore whether the relationship between depressive symptoms and insulin resistance among Latinxs with type 2 diabetes was moderated by toxic stressors arising from urban environmental threat (i.e., uncomfortable or unsafe aspects of city life). A community sample of Latinx adults with type 2 diabetes (n = 121) was recruited from Hartford, Connecticut. Participants self-reported depressive symptoms and exposure to urban environmental threat using items from the Patient Health Questionnaire and Urban Hassles Index, respectively. Insulin and glucose levels assessed via fasting blood draw were used to calculate insulin resistance using the HOMA-IR formula. After controlling for demographic, financial and health-related factors, results from a regression analysis revealed a significant interaction between depressive symptoms and urban environmental threat; more severe symptoms of depression predicted greater insulin resistance, but only amongst those with frequent exposure to urban environmental threats. Findings from the current study suggest that improving urban living conditions may offer an alternate avenue for attenuating the deleterious impacts of depression on type 2 diabetes progression in Latinxs.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1002/smi.3504

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Institution:
University of Oxford
Division:
MSD
Department:
Psychiatry
Role:
Author
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Role:
Author
ORCID:
0000-0002-7857-1394
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Role:
Author
ORCID:
0000-0002-7905-4575
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Role:
Author
ORCID:
0000-0001-9416-8039
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Role:
Author
ORCID:
0000-0001-8717-3315


Publisher:
Wiley
Journal:
Stress & Health More from this journal
Volume:
40
Issue:
6
Article number:
e3504
Place of publication:
England
Publication date:
2024-11-23
Acceptance date:
2024-10-29
DOI:
EISSN:
1532-2998
ISSN:
1532-3005


Language:
English
Keywords:
Pubs id:
2066431
Local pid:
pubs:2066431
Deposit date:
2024-11-25

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