The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe.
Background Depressive symptoms are more common in adults with diabetes and may arise from the physical and psychosocial burden of disease. Better quality of diabetes care may be associated with a reduced disease burden and fewer depressive symptoms. Methods This cross-sectional study included 34 420...
| Publicado en: | European Journal of Public Health Vol. 28; no. 5; pp. 872 - 879 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Oxford University Press / USA
Oct2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131920494&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131920494 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Oct2018 vid: 28 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 131920494 131920508 10.1093/eurpub/cky050 131920494 ppf: 872 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The association between diabetes and depressive symptoms varies by quality of diabetes care across Europe. aug: au: Graham, Eva A Thomson, Katie H Bambra, Clare L affil: Department of Epidemiology, Biostatistics, and Occupational Health, Faculty of Medicine, McGill University, Montreal, QC, Canada Douglas Mental Health University Institute, Montreal, QC, Canada sug: subj: Diabetes Mellitus Complications Depression Risk Factors Quality of Health Care Europe Human Europe Cross Sectional Studies Surveys Center for Epidemiological Studies Depression Scale Scales Regression Adult Confidence Intervals Economic Aspects of Illness Health Services Accessibility Social Determinants of Health Quality of Life Diabetic Patients Psychosocial Factors Adult: 19-44 years ab: Background Depressive symptoms are more common in adults with diabetes and may arise from the physical and psychosocial burden of disease. Better quality of diabetes care may be associated with a reduced disease burden and fewer depressive symptoms. Methods This cross-sectional study included 34 420 participants from 19 countries in the European Social Survey Round 7 (2014–2015). Countries were grouped into quartiles based on their quality of diabetes care as measured in the Euro Diabetes Index 2014. Individual-level depressive symptoms were measured using the 8-item Center for Epidemiologic Studies—Depression Scale. Negative binomial regression was used to compare the number of depressive symptoms between adults with and without diabetes in each quartile of diabetes care quality. Analyses included adjustment for covariates and survey weights. Results In countries with the highest quality of diabetes care, having diabetes was associated with only a 3% relative increase in depressive symptoms (95% CI 1.00–1.05). In countries in the second, third and fourth (lowest) quartiles of diabetes care quality, having diabetes was associated with a 13% (95% CI 1.08–1.17), 13% (1.08–1.19) and 22% (1.14–1.31) relative increase in depressive symptoms, respectively. Conclusion The association between diabetes and depressive symptoms appears stronger in European countries with lower quality of diabetes care. Potential pathways for this association include the financial aspects of diabetes care, access to services and differential exposure to the social determinants of heath. Further research is needed to unpack these mechanisms and improve the quality of life of people with diabetes across Europe. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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