| Diabetes and co-morbid depression among racially diverse, low-income adults. | |
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MedLine Citation:
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PMID: 21104461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Research suggests individuals with diabetes are twice as likely as those without diabetes to be clinically depressed. Still unknown is the relationship between diabetes and depression in socioeconomically disadvantaged populations. PURPOSE: We examined the relationship between diabetes and depressive symptoms in a large, racially diverse, low-income cohort in the southeastern USA. METHODS: A total of 69,068 adults were recruited from community health centers in 12 southeastern states. A fully adjusted polytomous logistic regression model tested the relationship between demographics, lifestyle behaviors, antidepressant use, body mass index, diabetes diagnosis, diabetes duration, diabetes medication compliance, and depressive symptoms using the Centers for Epidemiological Studies Depression scale. RESULTS: Diabetes was present in 21.7% of sample. While a diabetes diagnosis was associated with having severe depressive symptoms (AOR, 1.24; 95% CI, 1.14-1.34), demographics, lifestyle behaviors, body mass index and antidepressant use were more strongly associated with severe depressive symptoms than a diabetes diagnosis. CONCLUSIONS: Having diabetes was associated with the presence and severity of depressive symptoms in a large, low-income sample of racially diverse adults. However, the relationship between diabetes and depressive symptoms was weaker than in other studies with higher socioeconomic groups. |
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Authors:
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Chandra Y Osborn; Kushal A Patel; Jianguo Liu; Hollister W Trott; Maciej S Buchowski; Margaret K Hargreaves; William J Blot; Sarah S Cohen; David G Schlundt |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine Volume: 41 ISSN: 1532-4796 ISO Abbreviation: Ann Behav Med Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-05-20 Completed Date: 2011-09-20 Revised Date: 2011-09-26 |
Medline Journal Info:
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Nlm Unique ID: 8510246 Medline TA: Ann Behav Med Country: United States |
Other Details:
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Languages: eng Pagination: 300-9 Citation Subset: IM |
Affiliation:
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Department of Medicine, Division of General Internal Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, TN 37232-8300, USA. chandra.osborn@vanderbilt.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Antidepressive Agents / therapeutic use Body Mass Index Cohort Studies Continental Population Groups / psychology* Depression / complications, diagnosis, drug therapy, psychology* Diabetes Complications / psychology* Diabetes Mellitus / diagnosis, drug therapy, psychology* Female Humans Life Style Male Medication Adherence / psychology Middle Aged Poverty / psychology* Psychiatric Status Rating Scales Severity of Illness Index |
| Grant Support | |
ID/Acronym/Agency:
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K01 HL067715-05/HL/NHLBI NIH HHS; P60 DK020593-30/DK/NIDDK NIH HHS; P60 DK020593-30S2/DK/NIDDK NIH HHS; R01 CA092447-08/CA/NCI NIH HHS; R01 CA092447-09/CA/NCI NIH HHS; U01 CA114641-04/CA/NCI NIH HHS; U01 CA114641-05/CA/NCI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Antidepressive Agents |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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