{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:21Z","timestamp":1777859001856,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Center for Clinical and Translational Sciences","award":["1UM1TR004906-01"],"award-info":[{"award-number":["1UM1TR004906-01"]}]},{"DOI":"10.13039\/100005186","name":"Corporation for National and Community Service","doi-asserted-by":"publisher","award":["14SIHTX001"],"award-info":[{"award-number":["14SIHTX001"]}],"id":[{"id":"10.13039\/100005186","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["K01MD019149"],"award-info":[{"award-number":["K01MD019149"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adults with type 2 diabetes mellitus and comorbid depression face complex disease management. Salud y Vida, a diabetes management intervention for Mexican Americans in the Rio Grande Valley of Texas, may mitigate depression through social support and community-clinic referrals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In a cohort study, 292 Salud y Vida participants completed the patient health questionnaire (PHQ-9) at baseline, month 6, and month 12. A PHQ-9 score of \u22655 indicated mild depression and activated a mental health referral. Using SAS 9.4 with significance set at &lt;.05, we conducted multivariable longitudinal negative binomial regression to assess changes in depression level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The proportion of participants with a PHQ-9 \u22655 decreased from 36% at baseline to 18% in month 6 (adjusted risk ratio\u2009=\u20090.51, 95% CI\u2009=\u20090.41-0.62;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Among those with clinical depression at baseline (n\u2009=\u2009121), mean PHQ-9 scores dropped 45% by month 6 (9.60-5.28; adjusted rate ratio\u2009=\u20090.55; 95% CI\u2009=\u20090.47, 0.65,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and an additional 22% by month 12 (5.28-4.10; adjusted rate ratio\u2009=\u20090.78; 95% CI\u2009=\u20090.66, 0.91;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Salud y Vida participation is correlated with significant depression symptom improvements in Mexican American adults with diabetes and comorbid depression, demonstrating that chronic care management interventions can address multiple chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251358631","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:11:18Z","timestamp":1753891878000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improved Depression Symptoms Among Low-Income Mexican Americans Participating in a Community-Clinical Diabetes Intervention"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4329-506X","authenticated-orcid":false,"given":"MinJae","family":"Lee","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center at Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0448-486X","authenticated-orcid":false,"given":"Joseph H.","family":"Conroy","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, Brownsville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8774-8430","authenticated-orcid":false,"given":"Zihan","family":"Yang","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3657-2938","authenticated-orcid":false,"given":"Sein","family":"Lee","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul G.","family":"Yeh","sequence":"additional","affiliation":[{"name":"Rice University, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6901-6890","authenticated-orcid":false,"given":"Juliana Z.","family":"Lopez","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, Brownsville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8086-3700","authenticated-orcid":false,"given":"Natalia I.","family":"Heredia","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3839-8857","authenticated-orcid":false,"given":"Lisa A.","family":"Mitchell-Bennett","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, Brownsville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6436-4351","authenticated-orcid":false,"given":"Maribel","family":"Sifuentes","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, Brownsville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4446-9735","authenticated-orcid":false,"given":"Belinda M.","family":"Reininger","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, Brownsville, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control and Prevention. 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