Serious psychological distress and diabetes care among California adults

Abstract

Objective: To evaluate three aspects of diabetes care (foot checks, eye examinations, and hemoglobin A1C checks by a physician) among California adults with Type 2 diabetes and serious psychological distress (SPD). Method: Data were from the population-based 2005 California Health Interview Survey. Estimates were that in 2005, 1,516,171 Californians (5.75% of all adults) had a physician-given diabetes diagnosis, and of those, 108,621 (7.16%) had co-morbid SPD. Results: Among Californians with Type 2 diabetes, SPD was associated with fewer physician foot checks (odds ratio = 0.56, 95% Confidence Interval = 0.32 to 0.97) but not with fewer eye examinations or hemoglobin A1C checks. Conclusions: The findings highlight a specific area-foot complication evaluation and prevention-for improving the quality of diabetes care among adult Californians with Type 2 diabetes and SPD. © 2010, Baywood Publishing Co., Inc.