Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada
Background: This study aims to estimate the national prevalence of self-reported depression and anxiety disorders among persons living with Type 2 diabetes in Canada, as well as to investigate the potential link between disability severity and these conditions. Methods: We conducted a cross-sectiona...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-04-01
|
| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915324000052 |
| _version_ | 1797356321426636800 |
|---|---|
| author | Batholomew Chireh Samuel Kwaku Essien Carl D'Arcy Charles Gyan Marvin Ankrah |
| author_facet | Batholomew Chireh Samuel Kwaku Essien Carl D'Arcy Charles Gyan Marvin Ankrah |
| author_sort | Batholomew Chireh |
| collection | DOAJ |
| description | Background: This study aims to estimate the national prevalence of self-reported depression and anxiety disorders among persons living with Type 2 diabetes in Canada, as well as to investigate the potential link between disability severity and these conditions. Methods: We conducted a cross-sectional analysis of a subsample (N=8,321) of participants living with Type 2 diabetes in the 2017-2018 Canadian Community Health Survey-Annual Component. Modified Poisson regression models were used to examine the association between disability severity and depression and anxiety disorders. Descriptive statistics, prevalence estimates, adjusted relative risk, and 95% confidence intervals are reported. All statistical analyses were conducted using STATA version 18. Results: The prevalence of depression and anxiety were 12.4% and 10.1% respectively. Our study found disability severity as a strong risk factor for both psychiatric disorders. We also found (1) dissatisfaction with life, (2) extremely stressful life events, (3) being female (4) single or never married, (5) poor self-rated health, (6) obesity, and (7) current smoker as significant risk factors for both psychiatric disorders. Conversely, increasing age and higher annual personal income status were significant protective factors. Limitations: The study's limitations include the inability to establish temporal connections between risk factors and psychiatric disorders due to the cross-sectional design and the exclusion of those living in remote parts of the country and others from participation in the survey, which may underestimate the prevalence of Type 2 diabetes and severe disability. Conclusions: This study's findings point toward a growing demand for tertiary prevention to increase the probability for those living with Type 2 diabetes in Canada of maintaining functional health, improving mental health, and having a better quality of life. Public health prevention efforts targeted at decreasing the prevalence of diabetes and its complications and disability severity are recommended. |
| first_indexed | 2024-03-08T14:24:55Z |
| format | Article |
| id | doaj.art-2d01a2247a134a68ac7af0f97df5d594 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-03-08T14:24:55Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-2d01a2247a134a68ac7af0f97df5d5942024-01-13T04:45:24ZengElsevierJournal of Affective Disorders Reports2666-91532024-04-0116100720Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in CanadaBatholomew Chireh0Samuel Kwaku Essien1Carl D'Arcy2Charles Gyan3Marvin Ankrah4EPID@Work Research Institute, Lakehead University, Thunder Bay, Ontario, Canada; Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada; Corresponding author at: EPID@Work Research Institute, Lakehead University, 955 Oliver Road, Thunder Bay, Ontario P7B 5E1, Canada.EPID@Work Research Institute, Lakehead University, Thunder Bay, Ontario, Canada; Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, CanadaSchool of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; Department of Psychiatry, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaMcgill University, Montreal, Quebec, CanadaFaculty of Social Work, Wilfrid Laurier University, Waterloo, Ontario, CanadaBackground: This study aims to estimate the national prevalence of self-reported depression and anxiety disorders among persons living with Type 2 diabetes in Canada, as well as to investigate the potential link between disability severity and these conditions. Methods: We conducted a cross-sectional analysis of a subsample (N=8,321) of participants living with Type 2 diabetes in the 2017-2018 Canadian Community Health Survey-Annual Component. Modified Poisson regression models were used to examine the association between disability severity and depression and anxiety disorders. Descriptive statistics, prevalence estimates, adjusted relative risk, and 95% confidence intervals are reported. All statistical analyses were conducted using STATA version 18. Results: The prevalence of depression and anxiety were 12.4% and 10.1% respectively. Our study found disability severity as a strong risk factor for both psychiatric disorders. We also found (1) dissatisfaction with life, (2) extremely stressful life events, (3) being female (4) single or never married, (5) poor self-rated health, (6) obesity, and (7) current smoker as significant risk factors for both psychiatric disorders. Conversely, increasing age and higher annual personal income status were significant protective factors. Limitations: The study's limitations include the inability to establish temporal connections between risk factors and psychiatric disorders due to the cross-sectional design and the exclusion of those living in remote parts of the country and others from participation in the survey, which may underestimate the prevalence of Type 2 diabetes and severe disability. Conclusions: This study's findings point toward a growing demand for tertiary prevention to increase the probability for those living with Type 2 diabetes in Canada of maintaining functional health, improving mental health, and having a better quality of life. Public health prevention efforts targeted at decreasing the prevalence of diabetes and its complications and disability severity are recommended.http://www.sciencedirect.com/science/article/pii/S2666915324000052Disability severitySelf-reported depressionSelf-reported anxietyMental healthType 2 diabetesCanada |
| spellingShingle | Batholomew Chireh Samuel Kwaku Essien Carl D'Arcy Charles Gyan Marvin Ankrah Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada Journal of Affective Disorders Reports Disability severity Self-reported depression Self-reported anxiety Mental health Type 2 diabetes Canada |
| title | Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada |
| title_full | Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada |
| title_fullStr | Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada |
| title_full_unstemmed | Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada |
| title_short | Severe disability and self-reported depression and anxiety among persons living with Type 2 diabetes in Canada |
| title_sort | severe disability and self reported depression and anxiety among persons living with type 2 diabetes in canada |
| topic | Disability severity Self-reported depression Self-reported anxiety Mental health Type 2 diabetes Canada |
| url | http://www.sciencedirect.com/science/article/pii/S2666915324000052 |
| work_keys_str_mv | AT batholomewchireh severedisabilityandselfreporteddepressionandanxietyamongpersonslivingwithtype2diabetesincanada AT samuelkwakuessien severedisabilityandselfreporteddepressionandanxietyamongpersonslivingwithtype2diabetesincanada AT carldarcy severedisabilityandselfreporteddepressionandanxietyamongpersonslivingwithtype2diabetesincanada AT charlesgyan severedisabilityandselfreporteddepressionandanxietyamongpersonslivingwithtype2diabetesincanada AT marvinankrah severedisabilityandselfreporteddepressionandanxietyamongpersonslivingwithtype2diabetesincanada |