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首页> 外文期刊>Iranian journal of public health. >Depression, Diabetes, and Healthcare Utilization: Results from the Korean Longitudinal Study of Aging (KLoSA)
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Depression, Diabetes, and Healthcare Utilization: Results from the Korean Longitudinal Study of Aging (KLoSA)

机译:抑郁症,糖尿病和医疗保健利用:韩国纵向老龄化研究(KLoSA)的结果

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摘要

Background: The aim of this study was to explore the relationship between diabetes and depression and investigate the effects of comorbid diabetes and depression on healthcare utilization.Methods: The study sample included 10,179 Korean adults aged >=45 years. The presence of diabetes was assessed by asking participants if the participants had ever been diagnosed with diabetes. Depression was measured using the 10-item Center for Epidemiological Studies-Depression scale. Healthcare utilization was assessed by self-report Multiple logistic regression analyses were performed.Results: Diabetes was positively associated with depression after controlling socioeconomic and health variables. Diabetic patients who had low socioeconomic status, who were obese, who were smokers, and who had higher numbers of chronic diseases had a higher depression risk. Diabetes and depression was associated with increased healthcare utilization. People with both diabetes and depression had significantly increased odds of multiple physician visits, multiple hospital admissions, and prolonged hospitalization compared with individuals with neither diabetes nor depression. Patients with both diabetes and depression had greater odds of multiple hospital admissions than patients with diabetes alone.Conclusions: We found a positive association between diabetes and depression. Depression in persons with diabetes is associated with increased multiple hospital admissions. More research is warranted to clarify an association between co-occurring depression with diabetes and increased healthcare utilization.
机译:背景:本研究旨在探讨糖尿病与抑郁症之间的关系,并探讨合并性糖尿病与抑郁症对医疗保健利用的影响。方法:研究样本包括10179名年龄≥45岁的韩国成年人。通过询问参与者是否曾经被诊断出患有糖尿病来评估糖尿病的存在。使用10个项目的流行病学研究中心-抑郁量表对抑郁进行了测量。通过自我报告评估医疗保健利用率。进行了多因素Logistic回归分析。结果:控制社会经济和健康变量后,糖尿病与抑郁症呈正相关。社会经济地位低下,肥胖,吸烟,慢性病发病率较高的糖尿病患者患抑郁症的风险较高。糖尿病和抑郁症与提高医疗保健利用率有关。与没有糖尿病和抑郁症的人相比,患有糖尿病和抑郁症的人多次就诊,多次入院和住院时间延长的可能性大大增加。糖尿病和抑郁症患者比单独的糖尿病患者有更多的入院机会。结论:我们发现糖尿病与抑郁症之间存在正相关。糖尿病患者的抑郁症与多次住院的增加有关。有必要进行更多的研究来阐明糖尿病并发抑郁与医疗保健利用率之间的关联。

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