Table 1

Prevalence and prevalence ratios of receiving no treatment for mental health problems among adults aged ≥20 years with diagnosed diabetes and SPD in the U.S.: 2007 Behavioral Risk Factor Surveillance System

Prevalence of untreated SPD in adults with diagnosed diabetesPrevalence of receiving no treatment for mental health problems in adults with both diagnosed diabetes and SPD
Unadjusted prevalenceUnadjusted prevalence ratio*Adjusted prevalence ratioUnadjusted prevalenceUnadjusted prevalence ratioAdjusted prevalence ratio
n%SEPPR95% CIPR95% CIn%SEPPR95% CIPR95% CI
All21,7663.40.31,59845.02.7
Sex
    Male8,5472.80.4Ref.1.0Ref.1.0Ref.50844.04.1Ref.1.0Ref.1.0Ref.
    Female13,2193.90.50.081.41.02.00.90.91.01,09045.73.50.751.00.81.31.00.81.2
Race/ethnicity
    Non-Hispanic white15,3862.00.2Ref.1.0Ref.1.0Ref.97632.72.5Ref.1.0Ref.1.0Ref.
    Non-Hispanic black2,5715.11.1<0.012.61.74.11.11.01.121554.36.7<0.011.71.32.21.41.01.9
    Hispanic2,0557.71.4<0.013.92.65.91.11.11.126265.35.4<0.012.01.62.51.61.22.0
    Other1,4753.11.00.241.60.93.01.11.01.112839.39.20.491.20.72.01.61.12.4
Age (years)
    18–441,8534.00.8Ref.1.0Ref.1.0Ref.21642.15.9Ref.1.0Ref.1.0Ref.
    45–649,6993.90.50.871.00.61.51.00.91.196540.63.30.801.00.71.31.00.71.3
    ≥6510,1062.60.50.110.60.41.11.11.01.241160.85.50.021.41.02.01.51.12.2
Education level
    Less than high school3,6729.21.4<0.016.13.610.61.01.01.150358.94.70.041.41.02.01.20.81.7
    High school7,4532.40.30.071.60.92.71.00.91.156934.83.70.380.80.61.20.90.61.3
    Some college5,6602.40.40.101.60.92.91.00.91.135336.85.00.570.90.61.40.70.51.1
    College graduate or higher4,9401.50.4Ref.1.0Ref.1.0Ref.16841.87.1Ref.1.0Ref.1.0Ref.
Employment
    Employed6,7691.50.3Ref.1.0Ref.1.0Ref.22956.16.3Ref.1.0Ref.1.0Ref.
    Not employed5,8418.11.0<0.015.43.38.70.80.80.91,04541.13.50.040.70.61.00.60.50.8
    Retired9,1081.70.20.591.10.71.90.90.91.032052.04.50.590.90.71.20.60.50.9
Health insurance coverage
    Yes19,8442.60.3Ref.1.0Ref.1.0Ref.1,34239.32.9Ref.1.0Ref.1.0Ref.
    No1,8828.81.5<0.013.32.35.01.11.01.125564.05.5<0.011.61.32.01.51.21.9
Type of diabetes
    Type 17134.21.90.840.90.32.61.00.91.17437.412.40.840.90.42.01.00.61.7
    Type 2, no use of insulin3,3584.61.3Ref.1.0Ref.1.0Ref.31340.47.8Ref.1.0Ref.1.0Ref.
    Type 2, use of insulin11,5342.70.40.160.60.31.11.01.01.169747.04.10.451.20.81.81.20.91.5
Duration of diabetes (years)
    <55,4643.00.5Ref.1.0Ref.1.0Ref.39146.15.0Ref.1.0Ref.1.0Ref.
    5–93,5362.00.60.190.70.41.31.00.91.021234.57.10.180.80.51.20.60.40.8
    10–142,4613.11.50.971.00.42.81.00.91.116445.313.10.961.00.51.80.70.51.0
    ≥154,1064.40.90.201.40.92.41.00.91.131546.76.30.941.00.71.41.00.81.3
Cardiovascular risk factors§
    ≤14,9521.40.3Ref.1.0Ref.1.0Ref.17142.86.9Ref.1.0Ref.1.0Ref.
    26,7693.70.7<0.012.61.54.71.00.91.137259.65.40.060.80.51.21.40.92.0
    36,5163.20.5<0.012.31.34.00.90.91.052140.24.70.761.00.51.81.00.71.4
    ≥43,5296.20.8<0.014.42.67.40.90.90.953438.23.90.561.00.71.41.10.71.6
Microvascular complications
    011,7222.60.4Ref.1.0Ref.1.0Ref.59149.84.9Ref.1.0Ref.1.0Ref.
    13,6843.80.90.211.50.82.61.00.91.037734.66.00.050.70.51.00.60.50.8
    26748.72.0<0.013.41.95.91.00.91.114446.26.90.680.90.71.31.00.81.4
Macrovascular complications
    015,6772.50.3Ref.1.0Ref.1.0Ref.92343.13.2Ref.1.0Ref.1.0Ref.
    13,7236.31.3<0.012.51.63.91.00.91.038951.36.20.241.20.91.61.10.91.4
    ≥22,3604.70.7<0.011.91.32.71.00.91.028441.34.80.751.00.71.30.90.71.2
  • *Unadjusted PR and 95% CI were estimated from univariate analyses.

  • †Adjusted PR and 95% CI were estimated from multiple-variable analyses adjusting for all variables listed.

  • ‡People who were not employed include those out of work, homemakers, students, and those unable to work.

  • §Cardiovascular risk factors include obesity, high blood pressure, high cholesterol, current smoking, and no leisure-time physical activity.

  • ‖Microvascular complications include foot ulcers and retinopathy.

  • ¶Macrovascular complications include myocardial infarction, angina, and stroke. PR, prevalence ratio; Ref., referent.