Department of Psychiatry, McGill University, Montreal, Quebec, Canada; Douglas Mental Health University Institute, Montreal, Quebec, Canada.
Douglas Mental Health University Institute, Montreal, Quebec, Canada; Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada.
Public Health. 2014 Jan;128(1):63-9. doi: 10.1016/j.puhe.2013.06.001. Epub 2013 Jul 29.
To ascertain the impact of minor and major depression on self-reported use of and access to diabetes healthcare services, and the care components received in a community-based Quebec sample with type 2 diabetes.
Adults with type 2 diabetes who took part in baseline and 1-year follow-up telephone interviews for the Diabetes Health Study were assessed (n = 1175).
Information was collected regarding depression status (i.e. minor or major depression), use of and access to diabetes healthcare services, sociodemographic and diabetes characteristics, treatment, diabetes complications, disability, body mass index, residential area and depression.
People with major depression were more likely to be high users or non-users of diabetes healthcare services. The high users reported more diabetes complications. People with major depression also reported more problems with accessing diabetes healthcare services, specifically having to wait too long between making their appointment and their visit, specialist care not being available in their area, general health deterioration, being unable to leave their house due to their health and problems with transportation. People with major depression were less likely to report having their feet checked by their doctor, and were more likely to report problems with getting advice from their doctor.
People with diabetes need to use healthcare services in order to receive recommended care components. People with major depression and no complications are less likely to report using healthcare services; conversely, people with major depression and complications are more likely to be high users of healthcare services. People with major depression perceive more problems with the health care they receive.
确定轻度和重度抑郁对自我报告的糖尿病医疗保健服务的使用和获取，以及在基于社区的魁北克 2 型糖尿病样本中获得的护理成分的影响。
参与糖尿病健康研究基线和 1 年随访电话访谈的 2 型糖尿病成年人（n = 1175）接受了评估。
收集有关抑郁状况（即轻度或重度抑郁）、糖尿病医疗保健服务的使用和获取、社会人口统计学和糖尿病特征、治疗、糖尿病并发症、残疾、体重指数、居住区域和抑郁的信息。
患有重度抑郁症的人更有可能成为糖尿病医疗保健服务的高使用者或非使用者。高使用者报告的糖尿病并发症更多。患有重度抑郁症的人还报告说在获取糖尿病医疗保健服务方面存在更多问题，特别是在预约和就诊之间等待时间过长、所在地区无法提供专科护理、一般健康状况恶化、由于健康问题无法离开家以及交通问题。患有重度抑郁症的人不太可能报告让医生检查他们的脚，并且更有可能报告从医生那里获得建议的问题。
糖尿病患者需要使用医疗保健服务才能获得推荐的护理成分。没有并发症的重度抑郁症患者不太可能报告使用医疗保健服务；相反，有并发症的重度抑郁症患者更有可能成为医疗保健服务的高使用者。患有重度抑郁症的人对他们所接受的医疗保健服务感知更多问题。
