Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: Results from diabetes MILES - Australia

Dixon, JB; Browne, JL; Lambert, GW; Jones, KM; Reddy, P; Pouwer, F; Speight, J

Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: Results from diabetes MILES - Australia

Dixon, JB Browne, JL Lambert, GW Jones, KM Reddy, P

Pouwer, F Speight, J

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Publication Type:: Journal Article
Citation:: Diabetes Research and Clinical Practice, 2013, 101 (2), pp. 131 - 140
Issue Date:: 2013-08-01

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Field	Value	Language
dc.contributor.author	Dixon, JB	en_US
dc.contributor.author	Browne, JL	en_US
dc.contributor.author	Lambert, GW	en_US
dc.contributor.author	Jones, KM	en_US
dc.contributor.author	Reddy, P https://orcid.org/0000-0002-0709-9352	en_US
dc.contributor.author	Pouwer, F	en_US
dc.contributor.author	Speight, J	en_US
dc.date.available	2013-05-30	en_US
dc.date.issued	2013-08-01	en_US
dc.identifier.citation	Diabetes Research and Clinical Practice, 2013, 101 (2), pp. 131 - 140	en_US
dc.identifier.issn	0168-8227	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117143
dc.description.abstract	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. © 2013 Elsevier Ireland Ltd.	en_US
dc.relation.ispartof	Diabetes Research and Clinical Practice	en_US
dc.relation.isbasedon	10.1016/j.diabres.2013.05.017	en_US
dc.subject.classification	Endocrinology & Metabolism	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 2	en_US
dc.subject.mesh	Obesity	en_US
dc.subject.mesh	Depression	en_US
dc.subject.mesh	Social Class	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: Results from diabetes MILES - Australia	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	101	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1701 Psychology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	101	en_US

Abstract:

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. © 2013 Elsevier Ireland Ltd.

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