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Association Between Diabetes and Mental Disorders in Two American Indian Reservation Communities

¹ American Indian and Alaska Native Programs, University of Colorado at Denver and Health Sciences Center, Aurora, Colorado
² Department of Family and Community Medicine, College of Medicine, The University of Arizona, Tuscon, Arizona

Address correspondence and reprint requests to Luohua Jiang, American Indian and Alaska Native Programs, MS F800, P.O. Box 6508, Aurora, CO 80045-0508. E-mail: luohua.jiang@uchsc.edu

Abbreviations: AI-SUPERPFP, American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project • PTSD, posttraumatic stress disorder

The first 20% of the full text of this article appears below.

	INTRODUCTION

 
A rapidly growing body of research exists on the association between diabetes and mental disorders (1–6). Yet, limited information is available regarding mental disorders among ethnic minorities with diabetes, particularly American Indians. We examined the association of mental disorders and diabetes in two American Indian populations using data from a large community-based psychiatric epidemiological study.

	RESEARCH DESIGN AND METHODS—

 
The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project (AI-SUPERPFP) was conducted in two American Indian reservation communities. The methods are described in greater detail in a previous report (7) and on the study's Web site (http://www.uchsc.edu/ai/ncaianmhr/research/superpfp.htm). Data were collected between 1997 and 1999 from enrolled members of Southwest and Northern Plains tribes. To allow direct comparisons to the National Comorbidity Survey (8), only those who were aged 15–54 years at the time of sampling were included. For confidentiality purposes, we use the general descriptors of Northern Plains and Southwest rather than specific tribal names. Among those located and determined eligible, 76.8% in the Northern Plains and 73.7% in the Southwest tribes agreed to participate (n = 3,084; 1,638 Northern Plains and 1,446 Southwest).

Self-reported diabetes status was assessed by the question . . . [Full Text of this Article]

	RESULTS—

 

	CONCLUSIONS—

 

	APPENDIX—

 

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