期刊
COMMUNITY MENTAL HEALTH JOURNAL
卷 51, 期 8, 页码 978-986出版社
SPRINGER
DOI: 10.1007/s10597-015-9855-7
关键词
Primary health care; Depression; Type 2 diabetes; Environment; Social environment
资金
- American Heart Association [13GRNT17000021]
- National Institute of Mental Health [R21 MH094940, R34 MH085880]
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.
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