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Diabetes Care Publish Ahead of Print published online ahead of print October 12, 2007
DOI: 10.2337/dc07-1154
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Original Research

Prevalence of Depression among U.S. Adults with Diabetes: Findings from the 2006 Behavioral Risk Factor Surveillance System

Chaoyang Li, MD, PhD, Earl S. Ford, MD, MPH, Tara W. Strine, MPH and Ali H. Mokdad, PhD

Adult and Community Health National Center for Chronic Disease Prevention and Health Promotion Atlanta, GA

cli{at}cdc.gov

ABSTRACT

Objective: To estimate the prevalence rate of major depression among people with diabetes.

Research Design and Methods: Data from the 2006 Behavioral Risk Factor Surveillance System, a standardized telephone survey among U.S. adults aged ≥ 18 years, were analyzed (N=18,814). The Patient Health Questionnaire diagnostic algorithm was used to identify major depression.

Results: The age-adjusted prevalence rate of major depression was 8.3% (95% confidence interval, 7.3% to 9.3%), ranging from a low of 2.0% in Connecticut to a high of 28.8% in Alaska. There were 25-fold differences in the rate among racial/ethnic subgroups (lowest, 1.1% among Asians; highest, 27.8% among American Indians/Alaska Natives). People with type 2 diabetes who were currently using insulin had a higher rate than people with type 1 diabetes (P = 0.0009) or type 2 diabetes who were currently not using insulin (P = 0.01).

Conclusions: Major depression was highly prevalent among people with diabetes.


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Copyright © 2007 by the American Diabetes Association.