Association between diabetes and depression: Sex and age differences

被引:42
作者
Zhao, W.
Chen, Y.
Lin, M.
Sigal, R. J.
机构
[1] Univ Ottawa, Dept Epidemiol & Community Med, Ottawa, ON K1H 8M5, Canada
[2] Univ Ottawa, Dept Med, Ottawa, ON K1H 8M5, Canada
基金
加拿大健康研究院;
关键词
depression; diabetes; cross-sectional study; age factor; prevalence; health survey;
D O I
10.1016/j.puhe.2006.04.012
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: To examine the association between diabetes and the prevalence of depression in different sex and age groups by analysing the cross-sectional data from the National. Population Health Survey, conducted in Canada in 1996-1997. Study design: A total of 53 072 people aged 20-64 years were included in the analysis. Depression was defined as depression scale >= 5, based on the Composite International Diagnostic Interview Short-Form (CIDI-SF). Respondents who answered the following question affirmatively were considered to have diabetes: 'do you have diabetes diagnosed by a health professional?' Methods: A multiple logistic regression model was used to adjust for potential confounding effects, and a bootstrap procedure was used to take sampling weights and design effects into account. Results: The prevalence of diabetes was much higher in people aged 40-64 years than in people aged 20-39 years (men: 4.7% vs. 0.5%; women: 3.5% vs. 0.8%, respectively). In contrast, people aged 20-39 years had a slightly higher prevalence of depression than those aged 40-64 years (men: 3.1% vs. 2.9%; women: 6.6% vs. 5.4%, respectively). Diabetes was significantly associated with depression in women aged 20-39 years (odds ratio [OR] = 2.52, 95% confidence interval [CI] = 1.19, 5.32), but not in women aged 40-64 years (OR = 1.62, and 95% CI = 0.65, 4.06). The association was not significant in both age groups in men, but it tended to be stronger in the younger age group. Conclusions: The data suggest that diabetes is significantly associated with depression, particularly in young adults. (c) 2006 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:696 / 704
页数:9
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