SEARCHCROSS-SECTIONALepidemiology, public health

cross-sectional·epidemiology, public health, endocrinology, psychiatry, family medicine·PMC10431924

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

Preventing Chronic Disease · 6 authors, 1 centre

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In 2019, the age-adjusted depression prevalence was 29.2% for adults with diabetes versus 17.9% for those without, a consistent disparity of over 10 percentage points across the study period.

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In 2019, the age-adjusted depression prevalence was 29.2% for adults with diabetes versus 17.9% for those without, a consistent disparity of over 10 percentage points across the study period. From 2011 to 2019, depression prevalence was stable among adults with diabetes (28.6% to 29.2%) but increased significantly among those without diabetes (15.5% to 17.9%). State-specific trends varied, with significant increases in Illinois and Kansas and decreases in Arizona, Florida, Colorado, and Washington. The findings highlight the coexistence of these conditions and support the need for integrated screening and monitoring.

STUDY TYPE

cross-sectional

SPECIALTY

epidemiology

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ORIGINAL PAPER

PMC10431924

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

Preventing Chronic Disease

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ABSTRACT

Abstract 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.

CITATION EXPORT

Alain K Koyama, Israel A Hora, Kai McKeever Bullard et al.. State-Specific Prevalence of Depression Among Adults With and Without Diabetes — United States, 2011–2019. Preventing Chronic Disease. (2023). https://doi.org/10.5888/pcd20.220407

AUTHORS

6 · 1 CENTRES

Alain K Koyama, Israel A Hora, Kai McKeever Bullard, Stephen R Benoit, Shichao Tang, Pyone Cho

1Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia