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, doi: 10.1016/j.diabres.2013.05.017. Attached Files Name Description MIMEType Size Downloads 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 DOI 10.1016/j.diabres.2013.05.017 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 Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Thu, 12 Sep 2013, 17:28:22 EST Fri, 13 Sep 2013, 08:44:04 EST Fri, 13 Sep 2013, 14:05:11 EST Tue, 17 Sep 2013, 14:32:52 EST Tue, 17 Sep 2013, 14:35:37 EST Tue, 17 Sep 2013, 14:36:38 EST Thu, 17 Apr 2014, 13:18:26 EST Fri, 13 Jun 2014, 18:19:20 EST Wed, 18 Nov 2015, 07:36:26 EST Filtered Full Citation counts:   Cited 9 times in TR Web of Science Cited 12 times in Scopus Search Google Scholar Access Statistics: 170 Abstract Views, 8 File Downloads  -  Detailed Statistics Created: Thu, 12 Sep 2013, 17:28:09 EST by Claudia Gasch

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