1. Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus.
- Author
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O'Donnell, Alison, de Vries McClintock, Heather, Wiebe, Douglas, and Bogner, Hillary
- Subjects
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MENTAL depression risk factors , *TYPE 2 diabetes & psychology , *TYPE 2 diabetes complications , *CONFIDENCE intervals , *MENTAL depression , *QUESTIONNAIRES , *SOCIAL classes , *SOCIAL context , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
This study sought to examine whether neighborhood social environment was related to patterns of depressive symptoms among primary care patients with type 2 diabetes mellitus (DM). Neighborhood social environment was assessed in 179 patients with type 2 DM. Individual patient residential data at baseline was geo-coded at the tract level and was merged with measures of neighborhood social environment. Depressive symptoms at baseline and at 12-week follow up were assessed using the nine-item Patient Health Questionnaire (PHQ-9). Patients in neighborhoods with high social affluence, high residential stability, and high neighborhood advantage were much less likely to have a persistent pattern of depressive symptoms compared to a pattern of few or no depressive symptoms (adjusted odds ratio (OR) = 0.06, 95 % confidence interval (CI) [0.01, 0.36]). Detrimental neighborhood influences may amplify risk for persistent depressive symptoms. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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