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Association between depression and diabetes amongst adults in Bangladesh: a hospital based case-control study

Islam, Sheikh Mohammed Shariful, Ferrari, Uta, Seissler, Jochen, Niessen, Louis and Lechner, Andreas 2015, Association between depression and diabetes amongst adults in Bangladesh: a hospital based case-control study, Journal of global health, vol. 5, no. 2, pp. 1-9, doi: 10.7189/jogh.05.020406.

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Title Association between depression and diabetes amongst adults in Bangladesh: a hospital based case-control study
Author(s) Islam, Sheikh Mohammed SharifulORCID iD for Islam, Sheikh Mohammed Shariful orcid.org/0000-0001-7926-9368
Ferrari, Uta
Seissler, Jochen
Niessen, Louis
Lechner, Andreas
Journal name Journal of global health
Volume number 5
Issue number 2
Article ID 020406
Start page 1
End page 9
Total pages 9
Publisher Edinburgh University Global Health Society
Place of publication Edinburgh, Scotland
Publication date 2015-12
ISSN 2047-2978
Keyword(s) adult
aged
Bangladesh
case-control studies
comorbidity
depressive disorder, major
diabetes mellitus, type 2
female
hospitals
humans
logistic models
male
middle aged
prevalence
risk factors
socioeconomic factors
Summary METHODS: A matched case-control study was conducted among 591 consecutive patients with diabetes attending a tertiary hospital in Dhaka and 591 controls matched for age, sex and area of residence without diabetes not related with the index-case. Depression was measured using the Patient Health Questionnaire-9. Multivariate logistic regression was performed to examine the association between depression and diabetes.

RESULTS: The mean age (±standard deviation) of the participants was 50.4 ± 11.4 years, with a male to female ratio of 43:57. The prevalence of depression was 45.2% and 19.8% among cases and controls, respectively. In the multivariate analysis, mild as well as moderate to severe depression were significantly associated with diabetes and independent of sociodemographic factors and co-morbidity (adjusted odds ratio (OR) = 2.0, 95% confidence interval (CI) = 1.4-2.9 and adjusted OR = 6.4, 95% CI = 3.4-12.3; P < 0.001 for both).

CONCLUSION: The high prevalence and strong association of depression in individuals with diabetes in Bangladesh suggests that depression should be routinely screened for patients with diabetes at the clinics and that management strategies adequate for resource-poor settings need to be developed. Further research to determine the pathophysiological role of depression in the development of diabetes is merited.
Language eng
DOI 10.7189/jogh.05.020406
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30102429

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.