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. 2010 May;33(5):1061-4.
doi: 10.2337/dc09-1515. Epub 2010 Feb 25.

Undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress: the behavioral risk factor surveillance system, 2007

Chaoyang Li  1 , Earl S Ford, Guixiang Zhao, Lina S Balluz, Joyce T Berry, Ali H Mokdad
Affiliations

Undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress: the behavioral risk factor surveillance system, 2007

Chaoyang Li et al. Diabetes Care. 2010 May.

Abstract

Objective: To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD).

Research design and methods: We analyzed data of adults aged >or=18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale.

Results: The prevalence of untreated SPD was estimated to be 2.1 +/- 0.1% (mean +/- SE), 3.4 +/- 0.3%, and 2.0 +/- 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) (P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems (P < 0.05).

Conclusions: People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.

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References

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    1. Li C, Ford ES, Zhao G, Strine TW, Dhingra S, Barker L, Berry JT, Mokdad AH: Association between diagnosed diabetes and serious psychological distress among U.S. adults: the Behavioral Risk Factor Surveillance System, 2007. Int J Public Health 2009; 54: S43– S51 - PubMed
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    1. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System User's Guide. Atlanta, GA, Centers for Disease Control and Prevention, 2006

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