Depression, Diabetes, and Chronic Disease Risk Factors Among US Women of Reproductive Age || Preventing Chronic Disease: November 2011: 10_0269

Depression, Diabetes, and Chronic Disease Risk Factors Among US Women of Reproductive Age

Sherry L. Farr, MSPH, PhD; Donald K. Hayes, MD, MPH; Rebecca H. Bitsko, PhD; Pooja Bansil, MPH; Patricia M. Dietz, MPH, DrPH

Suggested citation for this article: Farr SL, Hayes DK, Bitsko RH, Bansil P, Dietz PM. Depression, diabetes, and chronic disease risk factors among US women of reproductive age. Prev Chronic Dis 2011;8(6):A119. http://www.cdc.gov/pcd/issues/2011/nov/10_0269.htm. Accessed [date].

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Abstract

Introduction
Depression and chronic disease have implications for women’s overall health and future pregnancies. The objective of this study was to estimate the prevalence and predictors of diabetes and chronic disease risk factors among reproductive-age women with depression.

Methods
We used population-based data from the 2006, 2008, and 2010 Behavioral Risk Factor Surveillance System to examine prevalence of diabetes and prediabetes, binge and heavy drinking, smoking, overweight and obesity, and physical inactivity among 69,043 women aged 18 to 44 years with current major or minor depression, a past depression diagnosis, or no depression. In a multivariable logistic regression model, we calculated adjusted odds ratios (AORs) and 95% confidence intervals (CIs) of 1, 2, and 3 or more chronic disease risk factors by depression status.

Results
We found that 12.8% of reproductive-aged women experienced both current depression and 1 or more chronic disease risk factors. Compared to women with no depression, currently depressed women and those with a past diagnosis had higher prevalence of diabetes, smoking, binge or heavy drinking, obesity, and physical inactivity (P < .001 for all). Odds of 3 or more chronic conditions and risk factors were elevated among women with major (AOR, 5.7; 95% CI, 4.3-7.7), minor (AOR, 4.7; 95% CI, 3.7-6.1), and past diagnosis of depression (AOR, 2.8; 95% CI, 2.4-3.4).

Conclusion
Depressed women of reproductive age have high rates of chronic disease risk factors, which may affect their overall health and future pregnancies

full-text:
Preventing Chronic Disease: November 2011: 10_0269