Urbanization and prevalence of depression in diabetes

C. H. Lin, Y. Y. Lee, C. C. Liu, H. F. Chen, M. C. Ko, Chung-Yi Li

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: To depict recent secular trend (2001-2005) in prevalence of depression among diabetic population in Taiwan, and to explore the influences of urbanization on the prevalence of depression. Study design: A descriptive correlation study design relating urbanization and prevalence of depression. Methods: Annual prevalence of depression was calculated as the ratio of number of individuals with depression (ICD-9-CM: 296, 309, or 311) to the size of diabetic population (ICD-9-CM: 250), which were ascertained from ambulatory care claim data of Taiwan's National Health Insurance between 2001 and 2005. Multivariate Poisson regression analysis was used to assess the secular trend in the prevalence of comorbid depression, and to appraise the influence of urbanization on prevalence of depression in diabetic patients. Results: The prevalence of depression among diabetic population increased annually from 22.6/10 3 in 2001 to 27.0/10 3 in 2005 with a significantly and linearly rising trend (β=0.0461, p<0.0001). Diabetic population living in urban areas showed the largest increase in prevalence (6.3/10 3 ), followed by those from rural areas (5.6/10 3 ). Compared to the diabetic patients residing in rural areas, those living in urban areas (RR=1.28, 95% CI=1.25-1.31) and those from satellite towns (RR=1.22, 95% CI=1.19-1.25) both had significantly increased adjusted RR. Conclusions: There is a significant increasing trend in prevalence of depression among diabetic population in recent years in Taiwan. Diabetic patients from urban areas not only had the greatest prevalence of depression but also showed the largest increase in prevalence during the study period, which highlights a need for managing depression in urban diabetes.

Original languageEnglish
Pages (from-to)104-111
Number of pages8
JournalPublic Health
Volume126
Issue number2
DOIs
Publication statusPublished - 2012 Feb 1

Fingerprint

Urbanization
Taiwan
International Classification of Diseases
Population
National Health Programs
Ambulatory Care
Population Density
Cross-Sectional Studies
Regression Analysis

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Lin, C. H., Lee, Y. Y., Liu, C. C., Chen, H. F., Ko, M. C., & Li, C-Y. (2012). Urbanization and prevalence of depression in diabetes. Public Health, 126(2), 104-111. https://doi.org/10.1016/j.puhe.2011.10.006
Lin, C. H. ; Lee, Y. Y. ; Liu, C. C. ; Chen, H. F. ; Ko, M. C. ; Li, Chung-Yi. / Urbanization and prevalence of depression in diabetes. In: Public Health. 2012 ; Vol. 126, No. 2. pp. 104-111.
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abstract = "Objectives: To depict recent secular trend (2001-2005) in prevalence of depression among diabetic population in Taiwan, and to explore the influences of urbanization on the prevalence of depression. Study design: A descriptive correlation study design relating urbanization and prevalence of depression. Methods: Annual prevalence of depression was calculated as the ratio of number of individuals with depression (ICD-9-CM: 296, 309, or 311) to the size of diabetic population (ICD-9-CM: 250), which were ascertained from ambulatory care claim data of Taiwan's National Health Insurance between 2001 and 2005. Multivariate Poisson regression analysis was used to assess the secular trend in the prevalence of comorbid depression, and to appraise the influence of urbanization on prevalence of depression in diabetic patients. Results: The prevalence of depression among diabetic population increased annually from 22.6/10 3 in 2001 to 27.0/10 3 in 2005 with a significantly and linearly rising trend (β=0.0461, p<0.0001). Diabetic population living in urban areas showed the largest increase in prevalence (6.3/10 3 ), followed by those from rural areas (5.6/10 3 ). Compared to the diabetic patients residing in rural areas, those living in urban areas (RR=1.28, 95{\%} CI=1.25-1.31) and those from satellite towns (RR=1.22, 95{\%} CI=1.19-1.25) both had significantly increased adjusted RR. Conclusions: There is a significant increasing trend in prevalence of depression among diabetic population in recent years in Taiwan. Diabetic patients from urban areas not only had the greatest prevalence of depression but also showed the largest increase in prevalence during the study period, which highlights a need for managing depression in urban diabetes.",
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Lin, CH, Lee, YY, Liu, CC, Chen, HF, Ko, MC & Li, C-Y 2012, 'Urbanization and prevalence of depression in diabetes', Public Health, vol. 126, no. 2, pp. 104-111. https://doi.org/10.1016/j.puhe.2011.10.006

Urbanization and prevalence of depression in diabetes. / Lin, C. H.; Lee, Y. Y.; Liu, C. C.; Chen, H. F.; Ko, M. C.; Li, Chung-Yi.

In: Public Health, Vol. 126, No. 2, 01.02.2012, p. 104-111.

Research output: Contribution to journalArticle

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AU - Liu, C. C.

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AU - Ko, M. C.

AU - Li, Chung-Yi

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N2 - Objectives: To depict recent secular trend (2001-2005) in prevalence of depression among diabetic population in Taiwan, and to explore the influences of urbanization on the prevalence of depression. Study design: A descriptive correlation study design relating urbanization and prevalence of depression. Methods: Annual prevalence of depression was calculated as the ratio of number of individuals with depression (ICD-9-CM: 296, 309, or 311) to the size of diabetic population (ICD-9-CM: 250), which were ascertained from ambulatory care claim data of Taiwan's National Health Insurance between 2001 and 2005. Multivariate Poisson regression analysis was used to assess the secular trend in the prevalence of comorbid depression, and to appraise the influence of urbanization on prevalence of depression in diabetic patients. Results: The prevalence of depression among diabetic population increased annually from 22.6/10 3 in 2001 to 27.0/10 3 in 2005 with a significantly and linearly rising trend (β=0.0461, p<0.0001). Diabetic population living in urban areas showed the largest increase in prevalence (6.3/10 3 ), followed by those from rural areas (5.6/10 3 ). Compared to the diabetic patients residing in rural areas, those living in urban areas (RR=1.28, 95% CI=1.25-1.31) and those from satellite towns (RR=1.22, 95% CI=1.19-1.25) both had significantly increased adjusted RR. Conclusions: There is a significant increasing trend in prevalence of depression among diabetic population in recent years in Taiwan. Diabetic patients from urban areas not only had the greatest prevalence of depression but also showed the largest increase in prevalence during the study period, which highlights a need for managing depression in urban diabetes.

AB - Objectives: To depict recent secular trend (2001-2005) in prevalence of depression among diabetic population in Taiwan, and to explore the influences of urbanization on the prevalence of depression. Study design: A descriptive correlation study design relating urbanization and prevalence of depression. Methods: Annual prevalence of depression was calculated as the ratio of number of individuals with depression (ICD-9-CM: 296, 309, or 311) to the size of diabetic population (ICD-9-CM: 250), which were ascertained from ambulatory care claim data of Taiwan's National Health Insurance between 2001 and 2005. Multivariate Poisson regression analysis was used to assess the secular trend in the prevalence of comorbid depression, and to appraise the influence of urbanization on prevalence of depression in diabetic patients. Results: The prevalence of depression among diabetic population increased annually from 22.6/10 3 in 2001 to 27.0/10 3 in 2005 with a significantly and linearly rising trend (β=0.0461, p<0.0001). Diabetic population living in urban areas showed the largest increase in prevalence (6.3/10 3 ), followed by those from rural areas (5.6/10 3 ). Compared to the diabetic patients residing in rural areas, those living in urban areas (RR=1.28, 95% CI=1.25-1.31) and those from satellite towns (RR=1.22, 95% CI=1.19-1.25) both had significantly increased adjusted RR. Conclusions: There is a significant increasing trend in prevalence of depression among diabetic population in recent years in Taiwan. Diabetic patients from urban areas not only had the greatest prevalence of depression but also showed the largest increase in prevalence during the study period, which highlights a need for managing depression in urban diabetes.

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