Prevalence of Depression among U.S. Adults with Diabetes: Findings from the 2006 Behavioral Risk Factor Surveillance System
- Chaoyang Li, MD, PhD (cli{at}cdc.gov),
- 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
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.
Footnotes
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- Received June 18, 2007.
- Accepted October 10, 2007.
- Copyright © American Diabetes Association
