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Differences in depression between unknown diabetes and known diabetes: results from China health and retirement longitudinal study

Published online by Cambridge University Press:  01 March 2016

Huaqing Liu ,
Xiaoyue Xu ,
John J. Hall ,
Xuesen Wu  and
Min Zhang
Huaqing Liu
Affiliation:
Department of Preventive Medicine, Bengbu Medical College, Anhui, China
Xiaoyue Xu
Affiliation:
Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, Australia
John J. Hall
Affiliation:
Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, Australia
Xuesen Wu
Affiliation:
Department of Preventive Medicine, Bengbu Medical College, Anhui, China
Min Zhang*
Affiliation:
Department of Health Management, Bengbu Medical College, Anhui, China
*
Correspondence should be addressed to: Min Zhang, Department of Health Management, Bengbu Medical College, No. 2600 Donghai Ave, Bengbu 233030, China. Fax: 86 552 3173962. Email: zmbbmc@163.com.
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Abstract

Background:

Both diabetes and depression have become serious public health problems and are major contributors to the global burden of disease. People with diabetes have been shown to have higher risk of depression. The purpose of this study was to observe the differences in depression between older Chinese adults with known or unknown diabetes.

Methods:

Data came from the national baseline survey of China Health and Retirement Longitudinal Study (CHARLS). The Center for Epidemiologic Studies Depression Scale was used to assess depression. Participants with a history of diabetes diagnosis were considered to have known diabetes, and those with newly-diagnosed diabetes were considered to have unknown diabetes. Multiple logistic regression analysis was applied to estimate odds ratio (OR) for depression in predictor variables.

Results:

Overall, 39.1% of the 2,399 participants with diabetes suffered from depression. The prevalence of depression was significantly higher (p < 0.001) in people with known diabetes (43.5%) than those with unknown diabetes (35.1%). The biggest differences between the two groups were found in the middle aged, in women, in the less educated and in married people. In known diabetes, people treated with traditional Chinese medicine (TCM) coupled with oral western medicine (WM) and/or insulin had two-fold odds of depression compared to those without treatment.

Conclusion:

The knowledge of having diabetes, treatments and suffering from other chronic diseases were associated with the higher prevalence of depression in people with known diabetes compared to those with unknown diabetes. Prevention of depression in diabetics should receive more attention in the middle aged, women and the less education.

Keywords

diabetesdepressionmiddle aged and olderChina
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 7 , July 2016 , pp. 1191 - 1199
Copyright
Copyright © International Psychogeriatric Association 2016 

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