Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?

<strong>Introduction: </strong>Chronic kidney disease (CKD) is known to be associated with deterioration of mental health. However, it is clear that this link is over and beyond the effects of socio-economic factors and other medical conditions. This study had two aims: 1) to compare the...

Full description

Bibliographic Details
Main Author: Shervin Assari
Format: Article
Language:English
Published: International Travel Medicine Center of Iran 2014-11-01
Series:International Journal of Travel Medicine and Global Health
Subjects:
Online Access:http://www.ijtmgh.com/article_33300_7b2f86ce992eb9ac62b642cd1e080157.pdf
id doaj-6c0d502024a247089f4f73d13485433e
record_format Article
spelling doaj-6c0d502024a247089f4f73d13485433e2020-11-24T21:14:32ZengInternational Travel Medicine Center of IranInternational Journal of Travel Medicine and Global Health2322-11002476-57592014-11-012413313933300Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?Shervin Assari0Department of Psychiatry, School of Public Health, University of Michigan, Ann Arbor, USA|Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA|Center for Research on Ethnicity, Culture and Health (CRECH), School of Public Health, University of Michigan, Ann Arbor, USA<strong>Introduction: </strong>Chronic kidney disease (CKD) is known to be associated with deterioration of mental health. However, it is clear that this link is over and beyond the effects of socio-economic factors and other medical conditions. This study had two aims: 1) to compare the association between CKD and general anxiety disorder (GAD) among the two major ethnic groups of American Blacks (e.g. African Americans and Caribbean Blacks), and 2) to compare the association between CKD and major depressive episode (MDE) between African Americans and Caribbean Blacks. <br/><strong>Methods: </strong>We analyzed data from African Americans and Caribbean Blacks who participated in the National Survey of American Life (NSAL). Self-reported physician diagnosis of CKD was the independent variable. Outcomes were 12- month GAD and MDE measured by the World Mental Health Composite International Diagnostic Interview (CIDI), a fully structured diagnostic interview. Ethnic-specific logistic regressions were used to determine the associations between CKD and 12- month GAD and MDE, after controlling for the effects of age, sex, educational level, and 13 other medical conditions. <br/><strong>Results: </strong>Although CKD was positively associated with GAD and MDE in bivariate analysis, this association did not remain statistically significant in the multivariate analysis which controlled for socio-economic factors and other medical conditions. The study suggested that the main confounders for the association between CKD, GAD, and MDE vary based on ethnicity. For instance, the chronic medical condition that may play the role of confounder for the association between CKD and 12-month GAD among African Americans and Caribbean Blacks might be hypertension and heart disease, respectively. <br/><strong>Conclusion: </strong>Possible confounders of the associations between CKD and GAD and MDE among American Blacks vary by ethnicity. Further research is needed to determine the links between different types of CKD and poor mental health among American Blacks. Consideration of ethnicity might be important in evaluation and treatment of mental health problems among Black patients with CKD.http://www.ijtmgh.com/article_33300_7b2f86ce992eb9ac62b642cd1e080157.pdfAnxietydepressionChronic kidney diseaseAmerican BlacksEthnic Groups
collection DOAJ
language English
format Article
sources DOAJ
author Shervin Assari
spellingShingle Shervin Assari
Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
International Journal of Travel Medicine and Global Health
Anxiety
depression
Chronic kidney disease
American Blacks
Ethnic Groups
author_facet Shervin Assari
author_sort Shervin Assari
title Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
title_short Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
title_full Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
title_fullStr Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
title_full_unstemmed Chronic Kidney Disease, Anxiety and Depression among American Blacks; Does Ethnicity Matter?
title_sort chronic kidney disease, anxiety and depression among american blacks; does ethnicity matter?
publisher International Travel Medicine Center of Iran
series International Journal of Travel Medicine and Global Health
issn 2322-1100
2476-5759
publishDate 2014-11-01
description <strong>Introduction: </strong>Chronic kidney disease (CKD) is known to be associated with deterioration of mental health. However, it is clear that this link is over and beyond the effects of socio-economic factors and other medical conditions. This study had two aims: 1) to compare the association between CKD and general anxiety disorder (GAD) among the two major ethnic groups of American Blacks (e.g. African Americans and Caribbean Blacks), and 2) to compare the association between CKD and major depressive episode (MDE) between African Americans and Caribbean Blacks. <br/><strong>Methods: </strong>We analyzed data from African Americans and Caribbean Blacks who participated in the National Survey of American Life (NSAL). Self-reported physician diagnosis of CKD was the independent variable. Outcomes were 12- month GAD and MDE measured by the World Mental Health Composite International Diagnostic Interview (CIDI), a fully structured diagnostic interview. Ethnic-specific logistic regressions were used to determine the associations between CKD and 12- month GAD and MDE, after controlling for the effects of age, sex, educational level, and 13 other medical conditions. <br/><strong>Results: </strong>Although CKD was positively associated with GAD and MDE in bivariate analysis, this association did not remain statistically significant in the multivariate analysis which controlled for socio-economic factors and other medical conditions. The study suggested that the main confounders for the association between CKD, GAD, and MDE vary based on ethnicity. For instance, the chronic medical condition that may play the role of confounder for the association between CKD and 12-month GAD among African Americans and Caribbean Blacks might be hypertension and heart disease, respectively. <br/><strong>Conclusion: </strong>Possible confounders of the associations between CKD and GAD and MDE among American Blacks vary by ethnicity. Further research is needed to determine the links between different types of CKD and poor mental health among American Blacks. Consideration of ethnicity might be important in evaluation and treatment of mental health problems among Black patients with CKD.
topic Anxiety
depression
Chronic kidney disease
American Blacks
Ethnic Groups
url http://www.ijtmgh.com/article_33300_7b2f86ce992eb9ac62b642cd1e080157.pdf
work_keys_str_mv AT shervinassari chronickidneydiseaseanxietyanddepressionamongamericanblacksdoesethnicitymatter
_version_ 1716746832662495232