Prevalence of Depression Among U.S. Adults With Diabetes Findings from the 2006 Behavioral Risk Factor Surveillance System

Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control, Atlanta, Georgia 30341, USA.
Diabetes care (Impact Factor: 8.42). 01/2008; 31(1):105-7. DOI: 10.2337/dc07-1154
Source: PubMed

ABSTRACT To estimate the prevalence rate of depression among adults with diabetes using a large population-based sample in the U.S.
Data from the 2006 Behavioral Risk Factor Surveillance System, a standardized telephone survey among U.S. adults aged >or=18 years, were analyzed (n = 18,814). The Patient Health Questionnaire diagnostic algorithm was used to identify major depression.
The age-adjusted prevalence rate of major depression was 8.3% (95% CI 7.3-9.3), ranging from a low of 2.0% in Connecticut to a high of 28.8% in Alaska. There were 25-fold differences in the rate among racial/ethnic subgroups (lowest, 1.1% among Asians; highest, 27.8% among American Indians/Alaska Natives). People with type 2 diabetes who were currently using insulin had a higher rate than people with type 1 diabetes (P = 0.0009) and those with type 2 diabetes who were currently not using insulin (P = 0.01).
Major depression was highly prevalent among people with diabetes; the prevalence rate varied greatly by demographic characteristics and diabetes types.

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Available from: Tara Strine, Feb 04, 2014
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    • "reported that overall 8.2% of patients with diabetes in the United States also had depression but for AIAN the rate was the highest. AIANs with diabetes suffer higher rates of depression than any other ethnic group (Li et al., 2008 "
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    • "The PHQ-9 has 9 questions with a score ranging from 0 to 3 for each question. It has been validated and used for screening and diagnostic purposes in different settings both developed and developing countries including Sri Lanka [10,28-30]. Shortness coupled with its construct and criterion validity makes the PHQ-9 an attractive, dual purpose instrument for making diagnoses and assessing severity of depressive disorders, particularly in the busy setting of clinical practice [26]. "
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    • "Relationship between DM and depression has been investigated by many researchers. Prevalence of depression among individuals with DM appears to vary by type of DM, race/ethnicity, and among developed and developing nations [11,12]. Therefore, screening for depression among diabetic patients is important in different races and ethnicities. "
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