Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Association of Common Mental Disorders and diabetes mellitus – Evidence from Case Control Study in rural Ballabgarh, Haryana
Harshal R Salve

Last modified: 2018-08-07

Abstract


Introduction

Diabetes mellitus and depression are major public health problem globally. Evidence of linkage of common mental disorders (CMDs) including depression and anxiety disorders with diabetes mellitus is sparsely reported from community-based settings.

Methods

A community based case control study was conducted in Delhi (urban) and Ballabgarh (Rural). Cases (diabetes) were recruited from the community with at least one year of diabetes. Age and sex matched two neighborhood controls were selected from the community. Diabetic status was confirmed by using HbA1C. CMD such as depression and anxiety disorders were screened using PRIME MD Hindi version. Conditional logistic regression was used to study relationship between cases and controls.

Result

Total 211 cases (diabetic) and 273 controls (non-diabetic) were recruited in the study. Of which 173 cases and 175 controls were analysed. Cases and controls were comparable with respect to age (p = 0.6), sex (0.5) and socio-economic status (p = 0.3). CMDs were found more among cases as compared to control (45.6% Vs21.7%) (p < 0.001). On conditional logistic regression analysis, CMDs were significantly higher among diabetes cases (OR – 3.2, 95% CI:1.9-5.2).

Conclusion

Strong evidence association of CMDs and diabetes mellitus from this population based study of necessities the need of integrated management of these two diseases in India.