- Title
- Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: results from diabetes MILES - Australia
- Creator
- Dixon, John B.; Browne, Jessica L.; Lambert, Gavin W.; Jones, Kay M.; Reddy, Prasuna; Pouwer, Frans; Speight, Jane
- Relation
- Diabetes Research and Clinical Practice Vol. 101, Issue 2, p. 131-140
- Publisher Link
- http://dx.doi.org/10.1016/j.diabres.2013.05.017
- Publisher
- Elsevier Ireland
- Resource Type
- journal article
- Date
- 2013
- Description
- Aim: To examine the emotional well-being of severely obese Australians with type 2 diabetes, along with markers of social and economic disadvantage, using the Diabetes MILES – Australia dataset. Methods: Diabetes MILES – Australia was a national survey of 3338 adults with diabetes that focused on psychosocial issues; 1795 had type 2 diabetes and reported BMI. We extracted data regarding depression (PHQ-9), anxiety (GAD-7), obesity- and diabetes-related comorbidities, and demographics. The severely obese group (SOG) (BMI ≥ 35; median BMI = 41.6) constituted 530 (30%) of the type 2 diabetes respondents and was matched with 530 controls (CG) (BMI < 35; median BMI = 28.2). Within- and between-group trends were examined. Results: The SOG had higher depression scores (median (IQR) 6.0 (3–12)) than CG (5.0 (2–10)); p < 0.001, and were more likely to report moderate-severe depressive symptoms (37% versus 27%; p < 0.001). The groups did not differ on anxiety. The SOG, compared with the CG, were more likely to live alone (21% versus 17%), receive a disability pension (21% versus 15%), earn ≤$40.000/year (51% versus 41%; all p < 0.05), and were less likely to be employed (46% versus 53%), university or higher educated (17% versus 26%), or have health insurance (50% versus 60%; all p ≤ 0.01). Moderate-severe depression was positively associated with cumulative stressors of severe obesity, socioeconomic disadvantage, and obesity- and diabetes-related comorbidity. Conclusions: Severely obese people living with type 2 diabetes have cumulative stressors related to health, disability, demographic and socioeconomic factors, and impaired emotional well-being.
- Subject
- severe obesity; socioeconomic disadvantage; pyschosocial comorbidity; depression; type 2 diabetes
- Identifier
- http://hdl.handle.net/1959.13/1297187
- Identifier
- uon:19393
- Identifier
- ISSN:0168-8227
- Language
- eng
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