Fatigue, Pain, Sleep Difficulties, and Depressive Symptoms in Mexican Americans and Chinese Americans with Type 2 Diabetes. Academic Article uri icon


  • Fatigue, pain, sleep difficulties, and depressive symptoms are common in people with type 2 diabetes (T2DM). However, most studies of diabetes symptoms are not conducted with Mexican- or Chinese Americans. We aim to compare the symptoms between the two ethnic groups and examine the predictors of fatigue. This is a secondary analysis of two datasets (72 Mexican Americans and 134 Chinese Americans with T2DM). The Theory of Unpleasant Symptoms guided variable selection. We used 2 tests to compare symptoms (measured by the Illness Perception Questionnaire-Revised and CES-D) between the two ethnic groups, and logistic regression to predict fatigue. Compared to Chinese Americans, Mexican Americans reported more fatigue, sleep difficulties, and pain. Depressive symptoms (OR=6.13, p<0.001) and medium acculturation (OR=2.45, p=0.017) significantly predicted fatigue. The two ethnic groups demonstrated differences in symptoms. Fatigue and related symptoms should be further evaluated in Mexican- and Chinese Americans with T2DM.

published proceedings

  • J Immigr Minor Health

altmetric score

  • 0.5

author list (cited authors)

  • Kuo, H., Huang, Y., & Garca, A. A.

citation count

  • 4

complete list of authors

  • Kuo, Hsuan-Ju||Huang, Ya-Ching||GarcĂ­a, Alexandra A

publication date

  • January 2020