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Response to Kawada: Self-rated health and depression of patients with diabetes: how to handle with wide range of ageing and diabetic status?
MedLine Citation:
PMID:  23350767     Owner:  NLM     Status:  Publisher    
We would like to thank Dr Kawada for his thoughtful comments on our studies. In his letter, Dr Kawada first highlights the potential contribution of age in the association between depression and self-rated health in people with diabetes. Specifically, he suggests that the association between depression and self-rated health may vary across age groups and recommends conducting age-stratified analyses. We can appreciate this concern. However, we are not convinced that an age-group stratified analysis would be an appropriate strategy to answer this question. In our data ([1], table 1) and in the data cited by Dr Kawada from Wexler et al. ([2], supplementary table 2), self-rated health did not significantly vary across age groups, suggesting that age-group membership is not an important factor of self-rated health in people with diabetes. Age as a continuous variable may be a more powerful predictor of self-rated health, as indicated by its significant association with self-rated health in our data ([1], table 2; [3], table 2). Indeed, additional analyses stratified by age group and sex resulted in estimates that were almost identical across age strata for women [18-49 years: adjusted odds ratio 1.4 (95% confidence interval 1.1-1.8); 50-64 years © 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.
G Gariepy; G Badawi; V Pagé; N Schmitz
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Publication Detail:
Type:  LETTER     Date:  2013-1-28
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  -     ISSN:  1464-5491     ISO Abbreviation:  Diabet. Med.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.
Douglas Mental Health University Institute, Montreal, QC, Canada; Department of Epidemiology and Biostatistics, McGill University, Montreal, QC, Canada.
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