State-Specific Prevalence of Depression Among Adults With and Without Diabetes — United States, 2011–2019

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Koyama, Alain K. ; Hora, Israel A. ; Bullard, Kai McKeever ; Benoit, Stephen R. ; Tang, Shichao ; Cho, Pyone
• Description:
  Introduction
  
  In 2019 among US adults, 1 in 9 had diagnosed diabetes and 1 in 5 had diagnosed depression. Since these conditions frequently coexist, compounding their health and economic burden, we examined state-specific trends in depression prevalence among US adults with and without diagnosed diabetes.
  
  Methods
  
  We used data from the 2011 through 2019 Behavioral Risk Factor Surveillance System to evaluate self-reported diabetes and depression prevalence. Joinpoint regression estimated state-level trends in depression prevalence by diabetes status.
  
  Results
  
  In 2019, the overall prevalence of depression in US adults with and without diabetes was 29.2% (95% CI, 27.8%–30.6%) and 17.9% (95% CI, 17.6%–18.1%), respectively. From 2011 to 2019, the depression prevalence was relatively stable for adults with diabetes (28.6% versus 29.2%) but increased for those without diabetes from 15.5% to 17.9% (average annual percent change [APC] over the 9-year period = 1.6%, P = .015). The prevalence of depression was consistently more than 10 percentage points higher among adults with diabetes than those without diabetes. The APC showed a significant increase in some states (Illinois: 5.9%, Kansas: 3.5%) and a significant decrease in others (Arizona: −5.1%, Florida: −4.0%, Colorado: −3.4%, Washington: −0.9%). In 2019, although it varied by state, the depression prevalence among adults with diabetes was highest in states with a higher diabetes burden such as Kentucky (47.9%), West Virginia (47.0%), and Maine (41.5%).
  
  Conclusion
  
  US adults with diabetes are more likely to report prevalent depression compared with adults without diabetes. These findings highlight the importance of screening and monitoring for depression as a potential complication among adults with diabetes.
  
  
• Subjects:
  Adult Depression Diabetes Mellitus Humans Prevalence
• Source:
  Prev Chronic Dis. 2023; 20
• DOI:
  http://dx.doi.org/10.5888/pcd20.220407
• ISSN:
  1545-1151
• Pubmed ID:
  37562067
• Pubmed Central ID:
  PMC10431924
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  20
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:7c0514ffefc62c8842dc345edf3835f729526ba16224f30346d78bb5eda0a174e392b60c1287762e98374e0a5b407d887efd01f90361408f1c5937348062d143
• Download URL:
  https://stacks.cdc.gov/view/cdc/151099/cdc_151099_DS1.pdf
• File Type:
  [PDF - 642.23 KB ]