Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus.
Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus.
复制标题
2 型糖尿病患者的社区社会环境和抑郁症状模式。
DOI：
10.1007/s10597-015-9855-7
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发表时间：
2015
影响因子：
2.7
通讯作者：
Bogner,HillaryR
中科院分区：
文献类型：
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作者：
O'Donnell,Alison;deVriesMcClintock,HeatherF;Wiebe,DouglasJ;Bogner,HillaryR
这项研究试图检验社区社会环境是否与2型糖尿病(DM)初级保健患者的抑郁症状模式有关。对179例2型糖尿病患者进行邻里社会环境评估。基线的个体患者居住数据在区域水平上进行地理编码，并与邻里社会环境的测量结果合并。使用九项患者健康问卷(PHQ-9)评估基线和12周随访时的抑郁症状。与很少或没有抑郁症状的模式相比，社会富裕程度高、居住稳定性高、社区优势高的社区的患者出现持续抑郁症状的可能性要小得多(调整后的优势比(OR)=0.06，95%可信区间(CI)[0.01，0.36])。有害的邻里影响可能会放大持续抑郁症状的风险。
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.