The effect of depression on self-care behaviors and quality of care in a national sample of adults with diabetes. Gen Hosp Psychiatry 2009;31(5):422-7
Date
08/26/2009Pubmed ID
19703635DOI
10.1016/j.genhosppsych.2009.06.007Scopus ID
2-s2.0-68949156365 (requires institutional sign-in at Scopus site) 90 CitationsAbstract
OBJECTIVE: To examine the effect of minor and major depression on self-care behaviors and quality of care among adults with diabetes.
METHODS: Data from 16,754 participants with diabetes in the 2006 Behavioral Risk Factor Surveillance Survey were examined. Multiple logistic regression was used to assess the independent association between depression status and indices of (1) self-care behaviors and (2) quality of diabetes care received, after accounting for confounders.
RESULTS: Individuals with minor (OR 0.69, 95% CI 0.57-0.84) and major (OR 0.50, 95% CI 0.39-0.64) depression were less likely to engage in leisure-time physical activity. Individuals with minor (OR 1.51, 95% CI 1.18-1.94) and major (OR 1.66, 95% CI 1.28-2.15) depression were more likely to be current smokers. With regard to quality of care, individuals with minor (OR 0.81, 95% CI 0.66-0.99) and major (OR 0.70, 95% CI 0.54-0.89) depression were less likely to receive an annual dilated eye exam. Additionally, individuals with minor (OR 0.79, 95% CI 0.65-0.95), but not major (OR 0.85, 95% CI 0.67-1.09) depression, were less likely to receive a flu shot in the past 12 months.
CONCLUSIONS: In adults with diabetes, both minor and major depression are associated with decreased self-care behavior and quality of care.
Author List
Egede LE, Ellis C, Grubaugh ALAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Behavioral Risk Factor Surveillance System
Depression
Diabetes Mellitus
Female
Humans
Logistic Models
Male
Middle Aged
Quality of Health Care
Self Care
Young Adult
