Prevalence of depression among US adults with diabetes - Findings from the 2006 behavioral risk factor surveillance system
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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ABSTRACT: Background Especially general practitioners are frequently confronted with complex health situations of patients, but knowledge of intensive forms of multimorbidity and their development during the life of patients is lacking.AimThis study explores the patterns and trajectories of chronic health problems of patients with multimorbidity particularly those with more than ten (11+) conditions and the type and variety of organ systems involved in these patterns during life.DesignObservational study.Method Life time prevalence patterns of chronic health problems were determined in patients with illness trajectories accumulating more than ten chronic health problems during life as registered by general practitioners in the South of the Netherlands in the Registration Network Family Practices (RNH).ResultsOverall 4,560 subjects (5%) were registered with more than ten chronic health problems during their life (MM11+), accounting for 61,653 (20%) of the 302,808 registered health problems in the RNH population (N¿=¿87,837 subjects). More than 30% of the patients accumulate 4 or more chronic health conditions during their lifetime (i.e. MM4-5: 4¿5 conditions (N¿=¿14,199; 16.2%); MM6-10: 6¿10 chronic conditions (N¿=¿14,365; 16.4%).Gastro-intestinal, cardiovascular, locomotor, respiratory and metabolic conditions occur more frequently in the MM11+ patients than in the other patients, while the nature and variety of body systems involved in lifetime accumulation of chronic health problem clusters is both generic and specific. Regarding chronic conditions possibly afflicting multiple sites throughout the body, the number of neoplasms seems low (N¿=¿3,592; 5.8%), but 2,461 (49%) of the 4,560 subjects have registered at least one neoplasm condition during life. A similar pattern can be noted for inflammation (N¿=¿3,537, 78%), infection (N¿=¿2,451, 54%) and injury (N¿=¿3,401, 75%).Conclusion There are many challenges facing multimorbidity research, including the implementation of a longitudinal, life-time approach from a family practice perspective. The present study, although exploratory by nature, shows that both general and specific mechanisms characterize the development of multimorbidity trajectories. A very small proportion of patients has a very high number of chronic health problems (MM11+) and keeps adding health problems in their life. However, GP¿s need to realise that more than one third of their patients accumulate four or more chronic health problems (MM4-5 and MM6-10) in their lifetime.BMC Family Practice 01/2015; 16(1):2. DOI:10.1186/s12875-014-0213-6 · 1.74 Impact Factor
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ABSTRACT: According to the 2010 Census, 5.2 million people identified themselves as American Indian or Alaska Native (AIAN) in the United States. This was an increase of 39% from the prior Census, making AIANs one of the nation’s fastest growing populations. The health and social programs reaching them, however, have experienced documented devastating shortfalls. Decades of inadequate resources have resulted in significant health and socioeconomic disparities. AIANs are often considered an “invisible minority.” In 2012, there were 266,000 AIAN elders 65 or older who claimed one race alone. That number is projected to almost triple by 2030—when the nation’s baby boomers move into the ranks of the older population. This article provides an overview of two primary mental health issues—depression and dementia—that will confront this emerging AIAN elder population. Although other health and social issues exist, this article addresses depression and dementia because they are hidden from the community and from health care agencies. This paper focuses both on the unique characteristics of the AIAN population and why it is important to address depression and dementia. The conclusion explores pragmatic policy recommendations for improving the health and long-term mental health care status of AIAN elders.The Gerontologist 02/2015; DOI:10.1093/geront/gnu181 · 2.48 Impact Factor
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ABSTRACT: Background. The emotional consequences of diabetes have been scrutinized by a number of investigative teams and there are varying reports about the association of depression with type 2 diabetes mellitus. However, there is limited data about this in Ethiopia. Therefore, the purpose of this study was to assess the prevalence of comorbid depression among type 2 diabetic outpatients. Methods and Materials. Institution based cross-sectional study design was conducted on a random sample of 276 type 2 diabetic outpatients from Black Lion General Specialized Hospital. Systematic random sampling technique was used to get these individual patients from 920 type 2 diabetic outpatients who have an appointment during the data collection period. Patients’ depression status was measured using Patient Health Questionnaire 9 (PHQ 9). Result. Totally 264 type 2 diabetic outpatients were interviewed with a response rate of 95.6%. The prevalence of depression among type 2 diabetic outpatients was 13%. Based on PHQ 9 score, 28.4% (75) fulfilled the criteria for mild depression, 12.1% (32) for moderate depression, 2.7% (7) for moderately severe depression, and 1.5% (4) for severe depression. But 45.8% (121) of patients had no clinically significant depression. Conclusion. This study demonstrated that depression is a common comorbid health problem in type 2 diabetic outpatients with a prevalence rate of 13%.Depression research and treatment 01/2015; 2015:1-8. DOI:10.1155/2015/184902