2019
DOI: 10.1016/j.ssmph.2018.11.002
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The syndemics of diabetes and depression in Brazil – An epidemiological analysis

Abstract: HighlightsAn epidemiological model of causal pathways in the syndemic of diabetes and depression is presented.Depression and diabetes are clustering in the adult Brazilian population partly due to shared social and behavioural causes.There is an interaction between depression and diabetes in their association with disability.There is a differential susceptibility to the effect of obesity on diabetes across levels of education and depression.

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Cited by 29 publications
(23 citation statements)
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References 49 publications
(60 reference statements)
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“…There could be several reasons for the varied findings [34]. Participants with depression might visit their physician more often and may thus be more likely to be recognized as having T2DM.…”
Section: Discussionmentioning
confidence: 99%
“…There could be several reasons for the varied findings [34]. Participants with depression might visit their physician more often and may thus be more likely to be recognized as having T2DM.…”
Section: Discussionmentioning
confidence: 99%
“…37 Also, the association of obesity and diabetes was shown to be stronger in low education groups, which suggests that socioeconomic circumstances may influence vulnerability to adiposity. 38 It has been previously demonstrated that smoking is associated with diabetes, with a relative risk of 1.4 (adjusted for the baseline BMI). 22 39 hsCRP reflects the level of general inflammation and is positively associated with obesity and diabetes.…”
Section: Discussionmentioning
confidence: 99%
“… 37 Also, the association of obesity and diabetes was shown to be stronger in low education groups, which suggests that socioeconomic circumstances may influence vulnerability to adiposity. 38 …”
Section: Discussionmentioning
confidence: 99%
“…Other similar research contains completely different results in comparison with ours. A recent epidemiological analysis conducted by Diderichsen and Andersen, showed the relationship of both diseases, diabetes and depression, with education levels and income levels in respondents of the female gender, meaning that an individual researched with lower levels of education had a 3.3% larger prevalence of diabetes and a 4.7% larger prevalence of depression ( 32 ).…”
Section: Discussionmentioning
confidence: 99%
“…Recent studies conducted in Brazil showed that obesity and education had a synergistic interactive effect on the regulation of diabetes in both genders, and that obesity has a positive correlation with depression in both males and females ( 32 ).…”
Section: Discussionmentioning
confidence: 99%