The Association Between Depressive Symptoms, Access to Diabetes Care, and Glycemic Control in Five Middle-Income Countries
Authors' conclusion
In MICs, individuals aged 50 years and older with diabetes and depression showed heightened diabetes identification and treatment probabilities, unlike patterns seen in HICs. This underscores the unique interplay of these conditions in different income settings.
Study context
- Population
- Individuals aged 50 years and above in Brazil, Chile, China, Indonesia and Mexico; 3,309 (18.1%) had diabetespooled sample
- Participants
- 18,301 individuals
- Exposure
- Depressive symptoms vs no depressive symptoms
- Depressive symptomsn = 3,934
- Outcome
- Diabetes care progression through diagnosis, treatment and glycemic control
Methodological detailspooled nationally representative household surveys, Brazil, Chile, China, Indonesia and Mexico, multivariable logistic regression
- Pooled nationally representative household surveys
- Brazil, Chile, China, Indonesia and Mexico
- Multivariable logistic regression
Main finding
As reported in the abstract
Diabetes detection, OR (P < 0.001)
1.398
Diabetes treatment, OR (P < 0.001)
1.344
Glycemic control, OR (P = 0.377)
0.913
Observational data: associations, not effects.
Further findings
Diabetes prevalence · insignificantly higher with depressive symptoms
P = 0.071
Original publication
The Association Between Depressive Symptoms, Access to Diabetes Care, and Glycemic Control in Five Middle-Income Countries. Diabetes Care. Published 25 June 2024. doi:10.
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