Material needs security and mental health outcomes in adults with type 2 Diabetes in Lebanon: A cross-sectional study

Abstract

Objectives: Despite their documented significance in type 2 diabetes (T2DM) management, social determinants of health (SDOHs) including material needs security and mental health outcomes are understudied in the Middle East and North Africa (MENA) region. This study aims to assess the relation between material needs security and mental health outcomes in Lebanese adults with T2DM. Methods: Subjects with T2DM (N = 300) were recruited from primary health care centers in Lebanon. Sociodemographic, material need variables, depression measured by Patient Health Questionnaire (PHQ-9), and diabetes fatalism measured by Diabetes Fatalism Scale (DFS) were collected. Results: Most of the participants were men, married and with lower educational levels. Multivariate analyses revealed that having material needs security was associated with diabetes fatalism (β = -0.63(-1.13; -0.12)), and depression (β = -0.46(-0.78; -0.13)). Also, higher age (β = 3.49(0.91; 6.06)) and education (β = 3.42(1.18; 5.66)), and lower income (β = 3.25(0.62; 5.88)) were independently associated with diabetes fatalism. Being male was the only independent variable associated with less depression (β = -1.56(-2.97; -0.14)). Conclusion: Our study highlights the importance of material needs security on mental health outcomes for adults with T2DM in the MENA region. Clinicians are encouraged to assess the impact of material needs on mental health outcomes. Further research is needed to understand potential pathways/mechanisms and options for effective interventions and policymaking.