Depression and diabetes in the remote Torres Strait Islands

Taylor, S; McDermott, R; Thompson, F; Usher, K

Depression and diabetes in the remote Torres Strait Islands

Taylor, S McDermott, R Thompson, F Usher, K

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Publication Type:: Journal Article
Citation:: Health Promotion Journal of Australia, 2017, 28 (1), pp. 59 - 66
Issue Date:: 2017-04-01

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Field	Value	Language
dc.contributor.author	Taylor, S	en_US
dc.contributor.author	McDermott, R	en_US
dc.contributor.author	Thompson, F	en_US
dc.contributor.author	Usher, K https://orcid.org/0000-0002-9686-5003	en_US
dc.date.available	2016-06-02	en_US
dc.date.issued	2017-04-01	en_US
dc.identifier.citation	Health Promotion Journal of Australia, 2017, 28 (1), pp. 59 - 66	en_US
dc.identifier.issn	1036-1073	en_US
dc.identifier.uri	http://hdl.handle.net/10453/127781
dc.description.abstract	© Australian Health Promotion Association 2017. Issue addressed: Diabetes is associated with significant depression, which can result in poorer clinical outcomes, including increased mortality. Little is known about the prevalence of depression among Torres Strait Islander adults with diabetes. Methods: Self-reported depression was measured using the Patient Health Questionnaire (PHQ)-9 translated into Torres Strait Creole, and associations with socioeconomic, behavioural and clinical indicators in Torres Strait Islander adults with diabetes in five remote Torres Strait Islands were examined. Results: Seventy-three men and 115 women completed interviews. The median PHQ-9 score was 5.5 (IQR 0-7); 42% of respondents scored 0-4 (none-minimal), 46% scored 5-9 (mild) and 12% scored 10+ (moderate-severe). Mean HbA1c was 8.3% (67.4 mmol). HbA1c was not related to PHQ-9 scores (b = 0.20, P = 0.323), however exercise in hours (b = -0.34, P < 0.001) and screen time in hours (b = 0.11, P < 0.001) were significant predictors of depression after adjusting for other study variables. Conclusions: This sample of remote living Torres Strait Islanders reported relatively low rates of depression compared with national samples, and depression was not related to glycaemic control. Exercise and screen time were the strongest predictors of depression based on PHQ-9 scores. This represents an opportunity for health promotion. So what? These findings provide an indication of the health impact of physical activity in rural and remote communities. Local health and education services, councils and sporting bodies should work collaboratively to promote sustainable physical activity programs.	en_US
dc.relation.ispartof	Health Promotion Journal of Australia	en_US
dc.relation.isbasedon	10.1071/HE15118	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus	en_US
dc.subject.mesh	Prevalence	en_US
dc.subject.mesh	Depressive Disorder	en_US
dc.subject.mesh	Comorbidity	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Oceanic Ancestry Group	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Depression and diabetes in the remote Torres Strait Islands	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	28	en_US
utslib.for	1117 Public Health and Health Services	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 Health
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	28	en_US

Abstract:

© Australian Health Promotion Association 2017. Issue addressed: Diabetes is associated with significant depression, which can result in poorer clinical outcomes, including increased mortality. Little is known about the prevalence of depression among Torres Strait Islander adults with diabetes. Methods: Self-reported depression was measured using the Patient Health Questionnaire (PHQ)-9 translated into Torres Strait Creole, and associations with socioeconomic, behavioural and clinical indicators in Torres Strait Islander adults with diabetes in five remote Torres Strait Islands were examined. Results: Seventy-three men and 115 women completed interviews. The median PHQ-9 score was 5.5 (IQR 0-7); 42% of respondents scored 0-4 (none-minimal), 46% scored 5-9 (mild) and 12% scored 10+ (moderate-severe). Mean HbA1c was 8.3% (67.4 mmol). HbA1c was not related to PHQ-9 scores (b = 0.20, P = 0.323), however exercise in hours (b = -0.34, P < 0.001) and screen time in hours (b = 0.11, P < 0.001) were significant predictors of depression after adjusting for other study variables. Conclusions: This sample of remote living Torres Strait Islanders reported relatively low rates of depression compared with national samples, and depression was not related to glycaemic control. Exercise and screen time were the strongest predictors of depression based on PHQ-9 scores. This represents an opportunity for health promotion. So what? These findings provide an indication of the health impact of physical activity in rural and remote communities. Local health and education services, councils and sporting bodies should work collaboratively to promote sustainable physical activity programs.

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http://hdl.handle.net/10453/127781