Diabetes and co-morbid depression among racially diverse, low-income adults.

Ann Behav Med

Department of Medicine, Division of General Internal Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN 37232-8300, USA.

Published: June 2011

AI Article Synopsis

  • Research indicates individuals with diabetes are more likely to experience clinical depression, but the impact in low-income and racially diverse populations is less understood.
  • In a study of 69,068 adults from southeastern USA, the presence of diabetes was linked to a higher likelihood of severe depressive symptoms, but lifestyle factors and demographics had a stronger correlation.
  • While diabetes was associated with depression severity, its effect was less pronounced in this economically disadvantaged group compared to findings in higher socioeconomic populations.

Article Abstract

Background: Research suggests individuals with diabetes are twice as likely as those without diabetes to be clinically depressed. Still unknown is the relationship between diabetes and depression in socioeconomically disadvantaged populations.

Purpose: We examined the relationship between diabetes and depressive symptoms in a large, racially diverse, low-income cohort in the southeastern USA.

Methods: A total of 69,068 adults were recruited from community health centers in 12 southeastern states. A fully adjusted polytomous logistic regression model tested the relationship between demographics, lifestyle behaviors, antidepressant use, body mass index, diabetes diagnosis, diabetes duration, diabetes medication compliance, and depressive symptoms using the Centers for Epidemiological Studies Depression scale.

Results: Diabetes was present in 21.7% of sample. While a diabetes diagnosis was associated with having severe depressive symptoms (AOR, 1.24; 95% CI, 1.14-1.34), demographics, lifestyle behaviors, body mass index and antidepressant use were more strongly associated with severe depressive symptoms than a diabetes diagnosis.

Conclusions: Having diabetes was associated with the presence and severity of depressive symptoms in a large, low-income sample of racially diverse adults. However, the relationship between diabetes and depressive symptoms was weaker than in other studies with higher socioeconomic groups.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3098929PMC
http://dx.doi.org/10.1007/s12160-010-9241-1DOI Listing

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