美国糖尿病成年患者中抑郁症的患病率：来自2006年行为危险因素监测系统的调查结果。

Prevalence of depression among U.S. adults with diabetes: findings from the 2006 behavioral risk factor surveillance system.

作者信息

Li Chaoyang, Ford Earl S, Strine Tara W, Mokdad Ali H

机构信息

Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control, Atlanta, Georgia 30341, USA.

出版信息

Diabetes Care. 2008 Jan;31(1):105-7. doi: 10.2337/dc07-1154. Epub 2007 Oct 12.

DOI:10.2337/dc07-1154

PMID:17934145

Abstract

OBJECTIVE

To estimate the prevalence rate of depression among adults with diabetes using a large population-based sample in the U.S.

RESEARCH DESIGN AND METHODS

Data from the 2006 Behavioral Risk Factor Surveillance System, a standardized telephone survey among U.S. adults aged >or=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% CI 7.3-9.3), 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) and those with type 2 diabetes who were currently not using insulin (P = 0.01).

CONCLUSIONS

Major depression was highly prevalent among people with diabetes; the prevalence rate varied greatly by demographic characteristics and diabetes types.

摘要

目的

利用美国一个基于大量人群的样本估计糖尿病成年患者中抑郁症的患病率。

研究设计与方法

对2006年行为危险因素监测系统的数据进行分析，该系统是一项针对美国18岁及以上成年人的标准化电话调查（n = 18,814）。采用患者健康问卷诊断算法来识别重度抑郁症。

结果

年龄调整后的重度抑郁症患病率为8.3%（95%置信区间7.3 - 9.3），范围从康涅狄格州的2.0%到阿拉斯加州的28.8%。种族/族裔亚组之间的患病率存在25倍差异（最低，亚洲人为1.1%；最高，美国印第安人/阿拉斯加原住民为27.8%）。目前正在使用胰岛素的2型糖尿病患者的患病率高于1型糖尿病患者（P = 0.0009）以及目前未使用胰岛素的2型糖尿病患者（P = 0.01）。