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Depression and Cost-Related Health Care Utilization Among Persons with Diabetes
Heather F McClintock1, Sarah E Edmonds1, Hillary R Bogner2,3
1Department of Public Health, College of Health Sciences, Arcadia University, Glenside, Pennsylvania, USA.
Population Health Management
|August 17, 2023
Summary
People with diabetes and a history of depression were 82% more likely to skip doctor visits due to cost. This highlights a critical link between mental health and healthcare access in diabetic populations.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- Depression significantly impacts healthcare costs and utilization in diabetic individuals.
- Understanding the factors linking depressive disorders and healthcare access is crucial for effective management.
Purpose of the Study:
- To investigate the association between lifetime depressive disorders and cost-related healthcare non-utilization among people with diabetes.
- To identify potential barriers to healthcare access for diabetic patients experiencing depression.
Main Methods:
- Utilized data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS).
- Analyzed a sample of 22,642 individuals with diabetes.
- Employed logistic regression models to assess the relationship between depressive disorders and cost-related healthcare non-utilization, adjusting for covariates and using weighted data.
Main Results:
- 25.2% of people with diabetes reported a lifetime diagnosis of a depressive disorder.
- Individuals with diabetes and a history of depressive disorder were significantly more likely to report not seeing a doctor due to cost in the past year (aOR: 1.82 [1.49, 2.28]).
Conclusions:
- A history of depressive disorder is associated with increased likelihood of cost-related healthcare non-utilization in people with diabetes.
- Further research is warranted to explore the complex relationship between depression and healthcare access barriers in this population.
- Interventions addressing both mental health and financial barriers may be necessary to improve healthcare utilization among diabetic patients with depression.
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