Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus.

Abstract:

:This study sought to examine whether neighborhood social environment was related to patterns of depressive symptoms among primary care patients with type 2 diabetes mellitus (DM). Neighborhood social environment was assessed in 179 patients with type 2 DM. Individual patient residential data at baseline was geo-coded at the tract level and was merged with measures of neighborhood social environment. Depressive symptoms at baseline and at 12-week follow up were assessed using the nine-item Patient Health Questionnaire (PHQ-9). Patients in neighborhoods with high social affluence, high residential stability, and high neighborhood advantage were much less likely to have a persistent pattern of depressive symptoms compared to a pattern of few or no depressive symptoms (adjusted odds ratio (OR) = 0.06, 95 % confidence interval (CI) [0.01, 0.36]). Detrimental neighborhood influences may amplify risk for persistent depressive symptoms.

authors

O'Donnell A,de Vries McClintock HF,Wiebe DJ,Bogner HR

doi

10.1007/s10597-015-9855-7

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

978-86

issue

8

eissn

0010-3853

issn

1573-2789

pii

10.1007/s10597-015-9855-7

journal_volume

51

pub_type

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