Prevalence, awareness, treatment, and control of diabetes mellitus by depressive symptom severity: a cross-sectional analysis of NHANES 2011–2016

IntroductionDespite extensive studies on the relationship between diabetes mellitus (DM) and depression, the associations of depressive symptom severity with prevalence, awareness, treatment, and control of diabetes remain unclear. We aimed to investigate changes in these outcomes of diabetes as dep...

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Published in:BMJ open diabetes research & care 2021-06, Vol.9 (1), p.e002268
Main Authors: Lee, Jaewon, Kim, Kyae Hyung, Ahn, Joseph C, Kim, Jihoon Andrew, Lee, Gyeongsil, Son, Joung Sik, Choi, Soo Jung, Oh, Yun Hwan, Park, Sang Min
Format: Article
Language:English
Subjects:
awareness
Body mass index
Clinical outcomes
Comorbidity
Cross-sectional studies
depression
Design
Diabetes
diabetes mellitus
Education
Epidemiology/Health services research
Family income
Glucose
Health insurance
Households
Insulin
Marital status
Medical screening
Mental depression
Patients
Plasma
Public health
Quality of life
Questionnaires
Socioeconomic factors
type 2
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Summary:IntroductionDespite extensive studies on the relationship between diabetes mellitus (DM) and depression, the associations of depressive symptom severity with prevalence, awareness, treatment, and control of diabetes remain unclear. We aimed to investigate changes in these outcomes of diabetes as depressive symptoms aggravate.Research design and methodsWe conducted a cross-sectional analysis of 14 328 participants in the 2011–2016 National Health and Nutrition Examination Survey. Participants were classified into depressive symptom groups of none, mild, moderate, moderately severe, and severe depending on their Patient Health Questionnaire-9 scores. Multivariate logistic regression analyses were conducted in three models adjusted for expanding confounders to evaluate the associations between severity of depressive symptoms and prevalence, awareness, treatment, and control of DM.ResultsAs depressive symptom severity worsened, both prevalence and awareness of DM increased regardless of models (p value for trend
ISSN:2052-4897
2052-4897
DOI:10.1136/bmjdrc-2021-002268