Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-7 (of 7 Records) |
Query Trace: Owens-Gary M[original query] |
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Trends in depression by glycemic status: Serial cross-sectional analyses of the National Health and Nutrition Examination Surveys, 2005-2016
Chandrasekar EK , Ali MK , Wei J , Narayan KV , Owens-Gary MD , Bullard KM . Prim Care Diabetes 2022 16 (3) 404-410 AIMS: We examined changes in the prevalence of elevated depressive symptoms among US adults with diabetes, prediabetes, and normal glycemic status during 2005-2016. METHODS: We analyzed data from 32,676 adults in the 2005-2016 National Health and Nutrition Examination Surveys. We defined diabetes as self-reporting a physician diagnosis of diabetes or A1C ≥ 6.5% [48 mmol/mol], and prediabetes as A1C 5.7-6.4% [39-46 mmol/mol]. We used the 9-item Patient Health Questionnaire (PHQ-9) score ≥ 10 or antidepressant use to define 'clinically significant depressive symptoms' (CSDS) and PHQ-9 score ≥ 12 as 'Major Depressive Disorder' (MDD). We calculated prevalence age-standardized to the 2000 US census and used logistic-regression to compute adjusted odds of CSDS and MDD for 2005-2008, 2009-2012, and 2015-2016. We analyzed the prevalence of A1C ≥ 9.0% [75 mmol/mol], systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, non-HDL cholesterol ≥ 130 mg/dL, and current smoking among adults with diagnosed diabetes by depressive status. RESULTS: The prevalence of CSDS increased among individuals with normal glycemic status from 15.0% (13.5-16.2) to 17.3% (16.0-18.7) (p = 0.03) over 2005-2016. The prevalence of CSDS and MDD remained stable among adults with prediabetes (~ 16% and 1%, respectively) and diabetes (~ 26% and ~3%). After controlling for glycemic, sociodemographic, economic, and self-rated health variables, we found 2-fold greater odds of CSDS among unemployed individuals and 3-fold greater odds among those with fair/poor self-rated health across all survey periods. Cardiometabolic care targets for adults with diagnosed diabetes were stable from 2005 to 2016 and similar across depressive status. CONCLUSIONS: One-fourth of adults with diabetes have comorbid CSDS; this prevalence remained stable over 2005-2016 with no change in diabetes care. At the population level, depression does not appear to impact diabetes care, but further research could explore subgroups that may be more vulnerable and could benefit from integrated care that addresses both conditions. |
Depression and diabetes in workers across the life span: addressing the health of America's workforce - Behavioral Risk Factor Surveillance System, 2014-2018
Kaur H , Scholl JC , Owens-Gary M . Diabetes Spectr 2021 35 (2) [Epub ahead of print] OBJECTIVE Diabetes affects nearly 12.2% of U.S. adults. Comorbid depressive symptoms among U.S. workers with diabetes are associated with increased unemployment and reduced work performance. This study examined the age-group-specific prevalence of depression among U.S. workers with self-reported diabetes and identified factors associated with depression. METHODS Data from the 2014-2018 Behavioral Risk Factor Surveillance System were used to examine the prevalence of depression among adult workers with diabetes in the United States. Relationships between depression prevalence and diabetes and demographic, physical, and behavioral risk factors were examined through bivariate and multivariable analyses. Age was categorized into four groups: 18-34, 35-54, 55-64, and >=65 years. RESULTS The overall prevalence of self-reported depression among U.S. workers with diabetes was 17.4%-30% higher than among those without diabetes. Workers with diabetes aged 18-34 years had the highest depression prevalence (28.7%) compared with other age-groups. Female workers with diabetes were significantly more likely than male workers to report depression in all age-groups. Young adult workers with diabetes who had another chronic disease were nearly three times more likely to report depression than those without another chronic condition. There were no overlapping patterns of prevalence of diabetes and depression by state. CONCLUSION Workers with diabetes are at an increased risk of depression, which can affect their overall health and productivity. These findings indicate that, among those with diabetes, young adult workers and women are most likely to have depression. Employee wellness programs may address the specific needs of individuals with diabetes and depression. |
An examination of gender differences in the National Diabetes Prevention Program's Lifestyle Change Program
Jackson MC , Dai S , Skeete RA , Owens-Gary M , Cannon MJ , Smith BD , Jabrah R , Masalovich SE , Soler RE . Diabetes Educ 2020 46 (6) 580-586 PURPOSE: The purpose of the study was to examine how gender was related to enrollment and number of sessions attended in the National Diabetes Prevention Program's Lifestyle Change Program (DPP LCP). METHODS: To better understand program uptake, a population of those who would be eligible for the LCP was compared to those who enrolled. Estimates of those eligible were computed using data from the National Health and Nutrition Examination Survey, whereas enrollment and sessions attended were computed using data from the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Program. RESULTS: Results revealed that although similar numbers of males and females were eligible for the program, only 39 321 males versus 121 007 females had enrolled in the National DPP LCP by the end of 2017 (odds ratio = 3.20; 95% CI, 3.17-3.24). The gender differences persisted even when stratifying by age or race/ethnicity. In contrast, no significant gender differences were found between the average number of sessions attended for males (14.0) and females (13.8). DISCUSSION: Results of the study can help inform efforts to market and tailor programs to appeal more directly to men and other groups that are underrepresented in the National DPP LCP. |
The importance of addressing depression and diabetes distress in adults with type 2 diabetes
Owens-Gary MD , Zhang X , Jawanda S , Bullard KM , Allweiss P , Smith BD . J Gen Intern Med 2018 34 (2) 320-324 People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient's risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of life-threatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes. |
When it all gets to be too much: Addressing diabetes distress in African Americans
Akindana A , Owens-Gary M , Williams A . AADE Pract 2016 4 (4) 44-49 Diabetes is a serious, common, and at times, overwhelming disease that disproportionately affects ethnic minority populations. According to the Centers for Disease Control and Prevention (CDC), about 29 million people in the United States have diabetes, and African Americans are almost twice as likely to have diabetes as non-Hispanic whites. | People with diabetes are susceptible to developing diabetes distress, which is emotional pain that people with diabetes may struggle with as they attempt to manage a chronic condition such as diabetes on a daily basis. When left unchecked, diabetes distress can lead to poor self-management and can directly affect their health. Though there is limited research on diabetes distress in African Americans, it is well documented that diabetes complications including distress disproportionately are seen within this group. | This article describes common knowledge of how diabetes distress can impact African Americans with diabetes and purport to introduce diabetes educators to a tool such as storytelling to help deal with emotional health in this patient population. |
Interventions to increase access to care and quality of care for women with gestational diabetes
Owens-Gary MD , Ware J . Diabetes Spectr 2012 25 (1) 26-28 The prevalence of gestational diabetes mellitus (GDM) in the United States is increasing, and rates in some populations range from 3 to 14%.1–3 The true prevalence of GDM may be even higher because underreporting of GDM on birth certificates is well documented.1–4 Difficulties in documenting and reaching consensus on the prevalence of GDM exist for a number of reasons, including the use of various diagnostic criteria, past confusion about the specific criteria used to diagnose GDM, and the lack of a universal recommendation for screening and diagnosis.5,6 | In previous publications, 5–7 researchers have outlined and critiqued the various GDM guidelines established by professional organizations. Most agree on assessment of the risk for GDM for all pregnant women, with the exception of the U.S. Preventive Service Task Force.8 However, they differ on testing procedures, diagnostic criteria, target blood glucose levels during pregnancy, and scheduled postpartum testing and follow-up for diabetes.5,6 |
Diabetes update. Helping students cope with diabetes: the role of the school nurse
Owens-Gary MD , Shea L , Lewis S . School Nurse News 2010 27 (4) 29-30 The article reports on the difficulties faced by children and adolescents with diabetes and discusses ways a school nurse can help them. It states that the school nurse can help in removing the stressors being experienced by the diabetic students. The National Diabetes Education Program (NDEP) has developed tip sheets that offer suggestions on preventing and managing diabetes. NDEP also developed a guide that can help the nurse assist students with the ailment face their feelings in a positive manner and help them whenever they feel depressed. |
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