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Depression, neighborhood deprivation and risk of type 2 diabetes

机译:抑郁,邻里剥夺和2型糖尿病风险

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Neighborhood characteristics have been associated with both depression and diabetes, but to date little attention has been paid to whether the association between depression and diabetes varies across different types of neighborhoods. This prospective study examined the relationship between depression, neighborhood deprivation, and risk of type 2 diabetes among 336,340 adults from a national-representative sample of primary care centers in Sweden (2001-2007). Multi-level logistic regression models were used to assess associations between depression and risk of type 2 diabetes across affluent and deprived neighborhoods. After accounting for demographic, individual-level socioeconomic, and health characteristics, depression was significantly associated with risk of diabetes (odds ratio (OR): 1.10, 95% confidence interval (CI): 1.06-1.14), as was neighborhood deprivation (OR for high vs. low deprivation: 1.66, 95% CI: 1.22-1.34). The interaction term between depression and neighborhood deprivation was non-significant, indicating that the relationship between depression and diabetes risk is similar across levels of neighborhood socioeconomic deprivation.
机译:邻里特征与抑郁症和糖尿病都有关系,但是迄今为止,人们对抑郁症和糖尿病之间的联系在不同类型的邻里之间是否有所不同的关注很少。这项前瞻性研究从全国代表性的瑞典初级保健中心样本(2001-2007年)中检查了336,340名成年人中抑郁症,邻里剥夺和2型糖尿病风险之间的关系。使用多级逻辑回归模型评估富裕和贫困地区的抑郁与2型糖尿病风险之间的关联。在考虑了人口,个体水平的社会经济和健康特征后,抑郁与糖尿病风险显着相关(优势比(OR):1.10,95%置信区间(CI):1.06-1.14),邻里剥夺(OR)高剥夺与低剥夺:1.66,95%CI:1.22-1.34)。抑郁与邻里剥夺之间的交互作用无关紧要,表明在邻里社会经济剥夺的各个层面上,抑郁与糖尿病风险之间的关系相似。

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