Bhattarai, Nawaraj, Charlton, Judith, Rudisill, C. and Gulliford, Martin C. (2013) Prevalence of depression and utilization of health care in single and multiple morbidity: a population-based cohort study. Psychological Medicine, 43 (7). pp. 1423-1431. ISSN 0033-2917
Full text not available from this repository.Abstract
This study aimed to determine whether depression in patients with long-term conditions is associated with the number of morbidities or the type of co-morbidity. A cohort study of 299 912 participants aged 30–100 years. The prevalence of depression, rates of health-care utilization and costs were evaluated in relation to diagnoses of diabetes mellitus (DM), coronary heart disease (CHD), stroke and colorectal cancer. The age-standardized prevalence of depression was 7% in men and 14% in women with no morbidity. The frequency of depression increased in single morbidities including DM (men 13%, women 22%), CHD (men 15%, women 24%), stroke (men 14%, women 26%) or colorectal cancer (men 10%, women 21%). Participants with concurrent diabetes, CHD and stroke had a very high prevalence of depression (men 23%, women 49%). The relative rate of depression for one morbidity was 1.63 [95% confidence interval (CI) 1.59–1.66], two morbidities 1.96 (95% CI 1.89–2.03) and three morbidities 2.35 (95% CI 2.03–2.59). Compared to those with no morbidity, depression was associated with higher rates of health-care utilization and increased costs at any level of morbidity. In women aged 55 to 64 years without morbidity, the mean annual health-care cost was £513 without depression and £1074 with depression; when three morbidities were present, the cost was £1495 without depression and £2878 with depression. Depression prevalence and health-care costs are more strongly associated with the number of morbidities than the nature of the co-morbid diagnosis.
| Item Type: | Article |
|---|---|
| Official URL: | http://journals.cambridge.org/action/displayJourna... |
| Additional Information: | © 2012 Cambridge University Press |
| Divisions: | Social Policy LSE Health |
| Subjects: | H Social Sciences > H Social Sciences (General) R Medicine > R Medicine (General) |
| Date Deposited: | 02 Nov 2012 09:56 |
| Last Modified: | 30 Oct 2024 19:09 |
| URI: | http://eprints.lse.ac.uk/id/eprint/47251 |
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