Ethnicity predicts long-term depressive symptom patterns in older adults with type 2 diabetes

International Psychogeriatrics, Journal Year: 2025, Volume and Issue: unknown, P. 100034 - 100034

Published: Jan. 1, 2025

Depression is a chronic disorder that significantly affects functional decline in older adults, especially those with type 2 diabetes (T2D). Ethnic groups may experience different depression risks and severities, yet the effect of ethnicity on trajectories specific dimensions adults T2D remains largely unexamined. We examined longitudinal associations its over time Ashkenazi non-Ashkenazi Jews T2D. Generalized estimating equations (GEE) models were employed to analyze numbers depressive symptoms dimension, adjusting for sociodemographics, cognition, characteristics, cardiovascular risk factors. Community-dwelling from Israel Diabetes Cognitive Decline (IDCD) study. 902 Jews, mean age= 72.3 years. The Geriatric Scale-15 (GDS-15) five dimensions: Dysphoric Mood, Withdrawal Apathy-Lack Vigor, Anxiety, Hopelessness, Memory Complaint. At baseline, reported lower GDS-15 scores compared Jews. They exhibited Mood Hopelessness dimensions. GEE confirmed these findings, showing had total (β = 0.86, 95 % CI 0.75-0.99; p 0.03), 0.76 (0.52-0.90], 0.006), 0.74 [0.58-0.95], 0.017) rates clinical (OR= 0.68 [0.52-0.90], 0.006). These data offered no evidence difference trends between trajectories. Ethnicity associated Further investigation contributing factors, including social determinants health, essential.

Language: Английский

Vulnerability and Complexity: Wartime Experiences of Arab Women During the Perinatal Period

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(4), P. 588 - 588

Published: April 9, 2025

Pregnancy and transition to motherhood are significant experiences accompanied by manifold changes, particularly during times of crisis, such as exposure traumatic events, which involve further levels complexity vulnerability. This is especially true for Arab women in Israel, considering the interactions between their physical, mental, social environments, impact on health pregnancy childcare wartime. study sought examine experience who experienced intersectional marginalization a traditional patriarchal society belong minority group, perinatal period, following events 7 October 2023, subsequent Israel–Hamas war. Semi-structured in-depth interviews were conducted with ten participants different stages young mothers infants up year old. The thematic analysis revealed four main themes: war intrapersonal identity; within couple’s relationship family Socio-political identity. Shining spotlight Israel daily functioning current complex reality reveals unique challenges, encompassing profound feelings fear, anxiety, imposed silence. Deepening understanding marginalized women’s can help policymakers field design tailored adaptations policies from groups, navigating complexities transitioning periods instability wartime challenges.

Language: Английский