Sun Kang, Zhan Min, Andrade Flavia Cristina Drumond
Department of Social Work, Southern Illinois University, 1263 Lincoln Dr., Carbondale, IL 62901, USA.
School of Social Work, University of Illinois at Urbana-Champaign, 1010 W Nevada St, Urbana, IL 61801, USA.
Prev Med Rep. 2025 Mar 25;53:103047. doi: 10.1016/j.pmedr.2025.103047. eCollection 2025 May.
To examine the association between diabetes diagnosis and preventive care utilization and whether depressive symptoms mediate this relationship.
The study used data from four waves of the National Longitudinal Survey of Youth gathered between 2006 and 2016 ( = 6995) in the United States. Logistic regression models were used to examine the relationship between a diabetes diagnosis and preventive care utilization and whether depressive symptoms mediated this relationship.
After controlling for demographic, socioeconomic, and health variables, a diabetes diagnosis significantly increased preventive care utilization of blood pressure, cholesterol, blood sugar, electrocardiograph tests, and influenza vaccinations. Also, depressive symptoms mediated the association between a diabetes diagnosis and three preventive care service utilization types: influenza vaccinations, blood pressure, and electrocardiograph tests. Depressive symptoms decreased blood pressure tests and increased influenza vaccinations and electrocardiograph tests. Depressive symptoms did not mediate blood cholesterol or blood sugar tests.
Results indicated that a diagnosis of diabetes increases the use of preventative services, with the strongest effect on blood sugar tests. However, depressive symptoms slightly reduced the utilization of blood pressure testing. Future studies need to further examine the roles of doctor's recommendations and the roles of family members and familial care.
研究糖尿病诊断与预防性保健利用之间的关联，以及抑郁症状是否介导了这种关系。
该研究使用了2006年至2016年期间在美国进行的四轮全国青年纵向调查的数据（n = 6995）。采用逻辑回归模型来研究糖尿病诊断与预防性保健利用之间的关系，以及抑郁症状是否介导了这种关系。
在控制了人口统计学、社会经济和健康变量后，糖尿病诊断显著增加了血压、胆固醇、血糖、心电图检查和流感疫苗接种等预防性保健的利用率。此外，抑郁症状介导了糖尿病诊断与三种预防性保健服务利用类型之间的关联：流感疫苗接种、血压和心电图检查。抑郁症状减少了血压检查，增加了流感疫苗接种和心电图检查。抑郁症状并未介导血液胆固醇或血糖检查。
结果表明，糖尿病诊断会增加预防性服务的使用，对血糖检查的影响最大。然而，抑郁症状会略微降低血压检查的利用率。未来的研究需要进一步探讨医生建议的作用以及家庭成员和家庭护理的作用。
