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


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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    • "Evidence exists for a higher rate of depression among 126 insulin users when compared with non-insulin users 127 (Hermanns et al. 2005;Li et al. 2008). A higher diabetes 128 complication burden, including sexual dysfunction, 129 peripheral neuropathy and nephropathy has also been 130 shown to predict the development of depression 131 (de Groot et al. 2001;van Steenbergen-Weijenburg et al. 132 2011). "
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