Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES – Australia

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Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES – Australia

Dixon, John B., Browne, Jessica L., Lambert, Gavin W., Jones, Kay M., Reddy, Prasuna, Pouwer, Frans and Speight, Jane 2013, Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES – Australia, Diabetes research and clinical practice, vol. 101, no. 2, pp. 131-140.

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Title	Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES – Australia
Author(s)	Dixon, John B. Browne, Jessica L. Lambert, Gavin W. Jones, Kay M. Reddy, Prasuna Pouwer, Frans Speight, Jane
Journal name	Diabetes research and clinical practice
Volume number	101
Issue number	2
Start page	131
End page	140
Total pages	10
Publisher	Elsevier BV
Place of publication	Amsterdam, The Netherlands
Publication date	2013-08
ISSN	0168-8227 1872-8227
Keyword(s)	depression psychosocial comorbidity severe obesity socioeconomic disadvantage type 2 diabetes
Summary	Aim To examine the emotional well-being of severely obese Australians with type 2 diabetes, along with markers of social and economic disadvantage, using the Diabetes MILES – Australia dataset. Methods Diabetes MILES – Australia was a national survey of 3338 adults with diabetes that focused on psychosocial issues; 1795 had type 2 diabetes and reported BMI. We extracted data regarding depression (PHQ-9), anxiety (GAD-7), obesity- and diabetes- related comorbidities, and demographics. The severely obese group (SOG) (BMI ≥ 35; median BMI = 41.6) constituted 530 (30%) of the type 2 diabetes respondents and was matched with 530 controls (CG) (BMI < 35; median BMI = 28.2). Within- and between- group trends were examined. Results The SOG had higher depression scores (median (IQR) 6.0 (3–12)) than CG (5.0 (2–10)); p < 0.001, and were more likely to report moderate-severe depressive symptoms (37% versus 27%; p < 0.001). The groups did not differ on anxiety. The SOG, compared with the CG, were more likely to live alone (21% versus 17%), receive a disability pension (21% versus 15%), earn ≤$40.000/year (51% versus 41%; all p < 0.05), and were less likely to be employed (46% versus 53%), university or higher educated (17% versus 26%), or have health insurance (50% versus 60%; all p ≤ 0.01). Moderate-severe depression was positively associated with cumulative stressors of severe obesity, socioeconomic disadvantage, and obesity- and diabetes- related comorbidity. Conclusions Severely obese people living with type 2 diabetes have cumulative stressors related to health, disability, demographic and socioeconomic factors, and impaired emotional well-being.
Language	eng
Field of Research	170106 Health, Clinical and Counselling Psychology 111712 Health Promotion 111714 Mental Health
Socio Economic Objective	920401 Behaviour and Health
HERDC Research category	C1 Refereed article in a scholarly journal
Copyright notice	©2013, Elsevier
Persistent URL	http://hdl.handle.net/10536/DRO/DU:30055995

Document type:	Journal Article
Collection:	School of Psychology


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Created:	Thu, 12 Sep 2013, 17:28:09 EST by Claudia Gasch

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