720-P: Material Needs Security and Mental Health Outcomes in Adults with Type 2 Diabetes in Lebanon

Abstract

Despite their documented significance in type 2 diabetes (T2DM) management, social determinants of health (SDOHs) including material needs security and mental health outcomes (herein referred to as depression and diabetes fatalism) 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. Subjects with T2DM (N=299) 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 used. Depression and diabetes fatalism were used as outcome variables. 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)) after controlling for all relevant confounding variables. Results from the fully adjusted logistic regression model showed that material needs security (OR: 0.82; 95% CI: 0.69; p<0.001). 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 impact of material needs on mental health outcomes. Further research is needed to understand potential pathways/mechanisms and options for effective interventions and policy making. Disclosure O.Sukkarieh: None. M.Bassil: None. L.E.Egede: None.