Background and purpose:
Type 2 diabetes mellitus
(T2DM) affects 30.3 million people (9.4%) in the United States. African Americans
are twice as likely to be diagnosed with diabetes and have two to four times the rates of T2DM-associated complications. Depression
has long been associated with poor outcomes of diabetic self-management and glycemic control. Comorbidity of T2DM and depression
worsen effective self-management of these conditions in the African American population. The purpose of the study was to synthesize the literature with practice recommendations of care related to T2DM and depression
in the African American population.
A literature search was conducted using PRISMA in June 2018 with PubMed, Google Scholar, Cochrane, Scopus, Embase, and PsycINFO databases using the years from 2008 through 2018. The following terms and combination of terms were used to identify articles for the review: (a) diabetes mellitus
, type 2, (b) diabetes type 2 and depression
, and (c) diabetes mellitus
type 2, depression
, African America.
The overall prevalence of depression
with T2DM in African Americans
is about 25%. The quality of care received by African Americans
is lower when compared with non-Hispanic Whites, resulting in more emergency department visits and fewer physician visits per year. African Americans
require supportive and trusting collaboration with providers for the ongoing optimal management of these complex conditions.
Implication for practice:
Culturally relevant education on lifestyle modification may help mitigate barriers to management of T2DM and depression
in the African American population. Using the diabetes self-management education/support to help empower African Americans
may be essential for effective self-management strategies of T2DM and depression