Psychosocial Factors and the Risk of Type 2 Diabetes Mellitus in Women Population based Epidemiological Study

Authors

  • Valery Gafarov Institute of Internal and Preventive Medicine – branch of Institute of Cytology and Genetics SB RAS, Novosibirsk, Russian Federation;Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation
  • Dmitriy Panov Institute of Internal and Preventive Medicine – branch of Institute of Cytology and Genetics SB RAS, Novosibirsk, Russian Federation;Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation
  • Elena Gromova Institute of Internal and Preventive Medicine – branch of Institute of Cytology and Genetics SB RAS, Novosibirsk, Russian Federation;Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation
  • Igor Gagulin Institute of Internal and Preventive Medicine – branch of Institute of Cytology and Genetics SB RAS, Novosibirsk, Russian Federation;Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation
  • Almira Gafarova Institute of Internal and Preventive Medicine – branch of Institute of Cytology and Genetics SB RAS, Novosibirsk, Russian Federation;Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation

DOI:

https://doi.org/10.30564/jgm.v2i2.2304

Abstract

Our aim was to study the effect of depression and social support on the risk of type 2 diabetes in female population aged 25-64 in Russia / Siberia. Under the screening surveys random representative samples of women aged 25-64 years were examined in 1994 and 2005. Depression assessment was performed using the MONICA- MOPSY test. Social support was measured using the Berkman-Sim test. From 1994 to 2018 in a cohort of women new-onset cases of diabetes mellitus were detected. The risk of T2DM in persons with depression was 1.844 (p<0.01). After adjusting for sociodemographic variables, the risk decreased by 6% but remained significantly significant (p <0.05). The impact of a low level of social relations showed a significant effect on the risk of diabetes mellitus, including the multivariate model adjusted for the social gradient (HR=1.833, p<0.05). The presence of psychosocial factors decreases the protective effect of education in diabetes incidence. The incidence of T2D was higher in the group of manual labor and in executives. Depression and low social support increase the risk of T2DM by 80%. The frequencies of T2DM are determined by the social gradient and are associated with the role conflict “family-work”.

Keywords:

Depression, Social support, Diabetes, Female population, Risk

References

[1] Dedov, I.I.; Shestakova, M.V.; Vikulova, O.K. National register of diabetes mellitus in Russian Federation: status on 2014. Diabetes 2015, 18(3), 5-23. DOI:https://doi.org/10.14341/DM201535-22

[2] Kawakami, N; Takatsuka, N; Shimizu, H; Ishibashi, H. Depressive symptoms and occurrence of type 2 diabetes among Japanese men. Diabetes Care 1999, 22, 1071–1076. DOI:https://doi.org/10.2337/diacare.22.7.1071

[3] Eaton, W.W.; Armenian, H; Gallo, J; Pratt, L; Ford, D.E. Depression and risk for onset of type II diabetes: a prospective population-based study. Diabetes Care 1996, 19, 1097–1102. DOI:https://doi.org/10.2337/diacare.19.10.1097

[4] Mayberry, L.S..; Osborn, C.Y. Family support; medication adherence; and glycemic control among adults with type 2 diabetes. Diabetes Care 2012, 35(6), 1239–1245. DOI:https://doi.org/10.2337/dc11-2103

[5] Gafarov, V.V; Panov, D.O.; Gromova, E.A.; Gagulin, I.V.; Gafarova, A.V. The influence of social support on risk of acute cardiovascular diseases in female population aged 25-64 in Russia. Int J Circumpolar Health 2013, 72, 21210. DOI:https://doi.org/10.3402/ijch.v72i0.21210

[6] Piwonski, J.; Piwonska, A.; Drygas, W. Do negative psychosocial risk factors influence the person's behaviour to more unhealthy? The results of National multicenter health survey (WOBASZ). European Heart Journal 2009, 30 (Suppl.), 521.

[7] Chou, K.L.; Ho, A.H.; Chi, I. Living alone and depression in Chinese older adults. Aging Ment Health 2006, 10(6), 583-91. DOI:https://doi.org/10.1080/13607860600641150

[8] Turner, L.R.; Mermelstein, R; Hitsman, B; Warnecke, R.B. Social support as a moderator of the relationship between recent history of depression and smoking cessation among lower-educated women. Tob. Res 2008, 10(1), 201-212. DOI:https://doi.org/10.1080/14622200701767738

[9] Allen, J; Markovitz, J; Jacobs, D. Social support and health behavior in hostile black and white men and women in CARDIA. Coronary Artery Risk Development in Young Adults. Psychosom Med 2001, 63(4), 609-18. DOI:https://doi.org/10.1097/00006842-200107000-00014

[10] MONICA Monograph and Multimedia Sourcebook. Helsinki, 2003; p. 237.

[11] AWeinberger, A.H.; Gbedemah, M.; Martinez, A.M.; Nash, D.; Galea, S.; Goodwin, R.D. Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups. Psychological Medicine 2017, 48(08), 1308–15. DOI:https://doi.org/10.1017/S0033291717002781

[12] Kessler, R.C.; Bromet, E.J. The epidemiology of depression across cultures. Annu Rev Public Health 2013, 34, 119-38. DOI:https://doi.org/10.1146/annurev-publhealth-031912-114409

[13] Harandi, T.F.; Taghinasab, M.M.; Nayeri, T.D. The correlation of social support with mental health: A meta-analysis. Electron Physician. 2017, 9(9), 5212–5222. DOI:https://doi.org/10.19082/5212

[14] Gafarov V; Panov D; Gromova E; Gagulin I; Gafarova A. The Risk of Hypertension Over 16 Years and Family and Job Stress in Female Population 25 - 64 Years in Russia/Siberia. EC Cardiology. 2017, 3(1), 05-13.

[15] Gafarov, V.V.; Panov, D.O.; Gromova, E.A.; Gagulin, I.V.; Gafarova, A.V. The influence of depression on risk development of acute cardiovascular diseases in the female population aged 25-64 in Russia. Int J Circumpolar Health 2013, 72(1), 21223. DOI:https://doi.org/10.3402/ijch.v72i0.21223

[16] Golden, S.H.; Williams, J.E.; Ford, D.E.; Yeh, H.C.; Paton, Sanford C.; Nieto, F.J.; Brancati, F.L. Depressive symptoms and the risk of type 2 diabetes: the Atherosclerosis Risk in Communities study. Diabetes Care 2004, 27(2), 429-35. DOI:https://doi.org/10.2337/diacare.27.2.429

[17] Hedén, Stahl C.; Novak, M.; Hansson, P-O.; Lappas, G.; Wilhelmsen, L.; Rosengren, A. Incidence of Type 2 diabetes among occupational classes in Sweden: a 35-year follow-up cohort study in middle-aged men. Diabet Med 2014, 31(6), 674–680. DOI:https://doi.org/10.1111/dme.12405

[18] Maty, S.C.; Everson-Rose, S.A.; Haan, M.N.; Raghunathan, T.E.; Kaplan, G.A. Education; income; occupation; and the 34-year incidence (1965-99) of Type 2 diabetes in the Alameda County Study. Int J Epidemiol 2005, 34(6), 1274-81. DOI:https://doi.org/10.1093/ije/dyi167

[19] Mezuk, B.; Eaton, W.W.; Albrecht, S. et al. Depression and type 2 diabetes over the lifespan. Diabetes Care 2008, 31, 2383–2390. DOI:https://doi.org/10.2337/dc08-0985

[20] Gafarov, V.V.; Panov, D.O.; Gromova, E.A.; Gagulin, I.V.; Gafarova, A.V. Relation of depression with attitude toward the health and other psychosocial factors in female 25-64 years in open population. World of Science; Culture; Education 2012, 35(4), 280-282. (In Russ.)

[21] Plotsky, P.M.; Owens, M.J.; Nemeroff, C.B. Psychoneuroendocrinology of depression: hypothalamic-pituitary-adrenal axis. Psychiatr Clin North Am 1998, 21, 293–307.

[22] Loprinzi, P.D.; Ford, M.A. Effects of Social Support Network Size on Mortality Risk: Considerations by Diabetes Status. Diabetes Spectrum 2018, 31 (2), 189-192; DOI:https://doi.org/10.2337/ds17-0056

[23] Kang, Y.J.; Park, S.N. The Association Between Social Support and Impaired Fasting Glucose and Type 2 Diabetes. Biomedical Science Letters 2016, 22(4), 189-198. DOI:https://doi.org/10.15616/BSL.2016.22.4.189

[24] Mohebi S; Parham M; Sharifirad G; Gharlipour Z; Mohammadbeigi A; Rajati F. Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Educ Health Promot 2018, 7, 48. DOI:https://doi.org/10.4103/jehp.jehp_73_17

[25] Maki, K.G. The Relationship Between Social Support and Type 2 Diabetes Risk. Communication Research Reports 2018, 35(1), 12-21. DOI:https://doi.org/10.1080/08824096.2017.1361394

[26] Hendryx, M.; Nicholson, W.; Manson, J.E.; Kroenke, C.H.; Lee, J.; Weitlauf, J.C.; Garcia, L.; Jonasson, J.M.; Wactawski-Wende, J.; Luo, J. Social Relationships and Risk of Type 2 Diabetes Among Postmenopausal Women. The Journals of Gerontology: Series B 2019, gbz047. DOI:https://doi.org/10.1093/geronb/gbz047

[27] Carnethon, M.; Biggs, M.; Barzilay, J.; et al. Longitudinal association between depressive symptoms and incident type 2 diabetes mellitus in older adults. The Cardiovascular Health Study. Arch Intern Med 2007, 167(8), 802-807. DOI:https://doi.org/10.1001/archinte.167.8.802

Downloads

How to Cite

Gafarov, V., Panov, D., Gromova, E., Gagulin, I., & Gafarova, A. (2020). Psychosocial Factors and the Risk of Type 2 Diabetes Mellitus in Women Population based Epidemiological Study. Journal of Geriatric Medicine, 2(2), 1–10. https://doi.org/10.30564/jgm.v2i2.2304

Issue

Article Type

Articles