Journal of Immigrant and Minority Health

, Volume 16, Issue 6, pp 1208–1216 | Cite as

Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes

  • Alana M. W. LeBron
  • Melissa A. Valerio
  • Edith Kieffer
  • Brandy Sinco
  • Ann-Marie Rosland
  • Jaclynn Hawkins
  • Nicolaus Espitia
  • Gloria Palmisano
  • Michael Spencer
Original Paper


It is not known how discrimination might affect diabetes-related distress (DRD), an important correlate of diabetes outcomes. We examined correlates of discrimination and the influence of discrimination on DRD and depressive symptoms (DS) for African Americans and Latinos with type 2 diabetes. We analyzed survey data (n = 157) collected at enrollment into a diabetes management intervention. Using multiple linear regression, we examined correlates of discrimination and the association between discrimination and DRD and DS. Discrimination was significantly associated with higher DRD for Latinos (b 1.58, 95 % CI 1.08, 2.31, p < 0.05), but not significant for African Americans (b 0.96, 95 % CI 0.59, 1.57). Discrimination was marginally significantly associated with more DS for Latinos (b 1.43, 95 % CI 0.97, 2.12, p < 0.10), but not significant for African Americans (b 1.21, 95 % CI 0.87, 1.70). These findings suggest the need to address stressors unique to racial/ethnic minorities to improve diabetes-related outcomes.


African Americans Latinos Hispanics Discrimination Diabetes Mental health Diabetes-related distress Depressive symptoms 



This research was supported by the National Institute of Diabetes and Digestive and Kidney Disease (R18DK0785501A1: Spencer, P.I.), Centers for Disease Control and Prevention (Cooperative Agreement No. U50/CCU417409), the Michigan Diabetes Research and Training Center (NIH Grant 5P60-DK20572), the Robert Wood Johnson Foundation Clinical Scholars Program, and the Promoting Ethnic Diversity in Public Health Training Grant (R25-GM-058641). We thank the Community Health and Social Services (CHASS) and REACH Detroit Partnership staff, the REACH Detroit Partnership Steering Committee (available at:, and the REACH Detroit Family Intervention participants for their involvement in this study. The REACH Detroit Partnership is affiliated with the Detroit Community-Academic Urban Research Center (available at:


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Alana M. W. LeBron
    • 1
  • Melissa A. Valerio
    • 2
  • Edith Kieffer
    • 3
  • Brandy Sinco
    • 3
  • Ann-Marie Rosland
    • 4
  • Jaclynn Hawkins
    • 3
  • Nicolaus Espitia
    • 3
  • Gloria Palmisano
    • 5
  • Michael Spencer
    • 3
  1. 1.Department of Health Behavior and Health EducationUniversity of Michigan School of Public HealthAnn ArborUSA
  2. 2.University of Texas School of Public Health-HoustonSan AntonioUSA
  3. 3.University of Michigan School of Social WorkAnn ArborUSA
  4. 4.Department of Internal MedicineUniversity of Michigan Health SystemAnn ArborUSA
  5. 5.Community Health and Social Services Center, Inc.DetroitUSA

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