Longitudinal relationship of diabetes and depressive symptoms in older adults from Mexico: a secondary data analysis

Álvarez‐Cisneros, Teresa; Roa-Rojas, Paloma; García-Peña, Carmen

doi:10.1136/bmjdrc-2020-001789

Cited by 10 publications

(11 citation statements)

References 29 publications

(22 reference statements)

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“…A previous large population study [ 25 ] analyzed the effect of duration of sleep on SRH among older people, which is similar to this study. Our result was similar to a previous study that showed that poor SRH is associated with a higher prevalence of depression in older adults [ 26 ]. Other studies reported that older adults with diabetes have a higher prevalence of depressive symptoms compared with those without the condition [ 27 ].…”

Section: Discussionsupporting

confidence: 93%

Factors Associated with Poor Self-Rated Health among Older Women Living Alone

Kim

Choi

2022

IJERPH

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Background: The study aimed to identify the differences in self-rated health (SRH) and the factors associated with poor SRH among older women who live alone, based on their sociodemographic and health characteristics. Methods: The sample consisted of 812 older women living alone and was obtained from the Seventh Korean National Health and Nutrition Examination Survey (Ⅶ-1, Ⅶ-2, Ⅶ-3). Complex sample analysis was performed using the independent t-test, the Chi-square test, and multiple logistic regression in SPSS/WIN 24.0 program. Results: The study found that SRH status in older women living alone differed according to age, education level, income, occupation, walking practices, sleeping hours, perceived stress, experiencing depression, diabetes, arthritis, and restrictions in daily functions. As the factors associated with poor SRH among older women living alone, a lower education level (OR = 1.89, CI = 1.19–3.02), higher perceived stress (OR = 4.92, CI = 1.84–13.16), experiencing arthritis (OR = 1.52, CI = 1.07–2.16), and higher restrictions in functioning (OR = 6.20, CI = 4.01–9.59) increased the likelihood of rating the poor SRH. Conclusion: SRH is an indicator of overall health status, and physical, psychological, and economic factors affect each other. Therefore, it is necessary to develop effective health education and intervention programs for vulnerable groups, including older women living alone with poor SRH.

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Section: Discussionsupporting

confidence: 93%

Factors Associated with Poor Self-Rated Health among Older Women Living Alone

Kim

Choi

2022

IJERPH

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“…This change was partly explained by improved treatment and awareness of these psychological conditions [ 54 ]. Similarly, the decline in depressive symptom rates was observed in a population-based sample of Mexican adults with DM (aged ≥ 50 years) from 2001 to 2015 [ 23 ].…”

Section: Discussionmentioning

confidence: 88%

“…Epidemiological studies from the last two decades have observed an overall increase in depression and anxiety prevalence in the general population [ 48 , 56 , 57 ] and CVDs and DM populations [ 10 , 57 , 58 ]. In contrast, other studies report that these mental conditions are on the rise in general adult populations [ 7 , 59 , 60 ] and populations with CVDs and DM [ 23 , 53 , 61 ].…”

Section: Discussionmentioning

confidence: 91%

“…A study using data on population-based adults from 17 countries demonstrated a higher odds ratio (OR) for depression (adjusted OR 2.1; 95% CI 1.9–2.5) and anxiety (adjusted OR 1.4; 95% CI 1.0–1.9) in participants with CVDs than those with no such conditions [ 9 ]. Likewise, symptoms of depression and anxiety are frequently present in adults with DM [ 21 – 23 ]. Epidemiological evidence suggests that the prevalence of depression is more than three times higher in adults with type 1 DM and almost twice as high in adults with type 2 DM [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence trends of depression and anxiety symptoms in adults with cardiovascular diseases and diabetes 1995–2019: The HUNT studies, Norway

et al. 2021

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Background Symptoms of depression and anxiety are common in adults with cardiovascular diseases (CVDs) and diabetes mellitus (DM). The literature on depression and anxiety in CVDs and DM populations is extensive; however, studies examining these relationships over time, directly compared to adults without these conditions, are still lacking. This study aimed to investigate trends in depression and anxiety symptom prevalence over more than 20 years in adults with CVDs and DM compared to the general population. Methods We used data from the population-based Trøndelag Health Study (HUNT), Norway, including adults (≥ 20 years) from three waves; the HUNT2 (1995–97; n = 65,228), HUNT3 (2006–08; n = 50,800) and HUNT4 (2017–19; n = 56,042). Depressive and anxiety symptom prevalence was measured independently by the Hospital Anxiety and Depressions scale (HADS) in sex-stratified samples. We analyzed associations of these common psychological symptoms with CVDs and DM over time using multi-level random-effects models, accounting for repeated measurements and individual variation. Results Overall, the CVDs groups reported higher levels of depression than those free of CVDs in all waves of the study. Further, depressive and anxiety symptom prevalence in adults with and without CVDs and DM declined from HUNT2 to HUNT4, whereas women reported more anxiety than men. Positive associations of depression and anxiety symptoms with CVDs and DM in HUNT2 declined over time. However, associations of CVDs with depression symptoms remained over time in men. Moreover, in women, DM was associated with increased depression symptom risk in HUNT2 and HUNT4. Conclusions Depression and anxiety symptoms are frequent in adults with CVDs. Further, our time trend analysis indicates that anxiety and depression are differentially related to CVDs and DM and sex. This study highlights the importance of awareness and management of psychological symptoms in CVDs and DM populations.

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“…On the other hand, evidence suggests that depression appears to be the result of a combination of socioeconomic and health factors, not exclusive to diabetes. Nevertheless, studies agree that women tend to have a higher prevalence of depressive symptoms than men, and that chronic degenerative diseases may play a role in increasing depressive symptoms and weight gain [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Multidimensional analysis of health in Mexico: implementation of fuzzy sets

2021

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Background The national health and nutrition survey allows to know the state of health of the Mexican population, it provides data for the analysis of different factors and / or indicators of health, diseases and nutritional conditions, such as chronic degenerative diseases and depressive symptoms, which, in turn, if both occur simultaneously, they will have a negative impact on health. This article studies the four factors involved in the overall health of the population in Mexico: excess weight, diabetes, high blood pressure, and depressive symptoms, which are used to conduct a multidimensional characterization and analysis. Methods Two methodological resources are applied, a descriptive statistical characterization and the construction of a multidimensional health index with the use of fuzzy sets, through the National Health and Nutrition Survey (ENSANUT 2018–19 - for its acronym in Spanish) in Mexico. Results The results reveal a growing percentage of individuals who experience detriments to their health, that is, the factors being studied have had a negative impact and tend to follow international projections. The construction of a multidimensional index enables the interaction between the factors being studied, thus allowing for an adequate modeling for the identification of health in Mexico. Conclusion This study aims to elucidate the current state of health throughout the population in Mexico by using the most current data provided by the autonomous public body of statistics and geography to build a multidimensional panorama using four elementary public health indicators (diabetes, obesity, high blood pressure, and depressive symptoms).

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Longitudinal relationship of diabetes and depressive symptoms in older adults from Mexico: a secondary data analysis

Cited by 10 publications

References 29 publications

Factors Associated with Poor Self-Rated Health among Older Women Living Alone

Factors Associated with Poor Self-Rated Health among Older Women Living Alone

Prevalence trends of depression and anxiety symptoms in adults with cardiovascular diseases and diabetes 1995–2019: The HUNT studies, Norway

Multidimensional analysis of health in Mexico: implementation of fuzzy sets

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