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Journal of Immigrant and Minority Health

Open Access 20-01-2024 | Anxiety | Original Paper

Depression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis

Authors: Kevin A. Matlock, Rafael Pérez-Escamilla, Julie Wagner

Published in: Journal of Immigrant and Minority Health

Abstract

Latinxs experience greater risk for type 2 diabetes, discrimination, and poor mental health. The pathways linking these factors, however, are not well understood. This study tested whether depression and anxiety mediated the relationship between discrimination and well-being. Bootstrapped mediation tests were conducted using a sample of Latinx adults with type 2 diabetes (n = 121) and regression models adjusted for demographic and health covariates. Depression and anxiety fully and jointly mediated the effect of discrimination on well-being; everyday discrimination was linked to elevated symptoms of depression and anxiety which were, in turn, independently linked to reduced emotional well-being. Moreover, the effect size for the anxiety pathway (β=–0.13) was 60% larger than for depression (β=–0.08). Dual mediation suggests depression, and especially anxiety, may be important targets for interventions seeking to mitigate the deleterious effects of discrimination. Findings have important implications for psychotherapeutic treatments and public health policy.

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Title: Depression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis
Authors: Kevin A. Matlock
Rafael Pérez-Escamilla
Julie Wagner
Publication date: 20-01-2024
Publisher: Springer US
Keywords: Anxiety
Affective Disorder
Affective Disorder
Type 2 Diabetes
Published in: Journal of Immigrant and Minority Health
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI: https://doi.org/10.1007/s10903-024-01582-w

At a glance: The STEP trials

Springer Medicine

Depression and Anxiety Mediate the Relationship between Discrimination and Well-Being in a Sample of Latinx Adults with Type 2 Diabetes: Results from a Dual Mediation Analysis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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