A study of investigating the prevalence and trend of type II diabetes with major depression disorder

• Main Authors: Siao-Han Dai, 戴筱涵
• Other Authors: Hui-Min Hsieh
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/63276859415800906341

碩士 === 高雄醫學大學 === 公共衛生學系公共衛生學碩士班 === 103 === Background: The prevalence of diabetes and depression in Taiwan show a continued upward trend in the past decade, causing a lot of medical costs and adverse health effects. In this study, mainly to analyze data from health-care database，estimating epidemiological studies of type II diabetes and completely non-diabetic patients with major depression. Methods: Using the 2005 National Health Insurance database, understand the differences of type II diabetic patients with moderate to major depression disorder in different time . The study find out all of the population in the midst of a medical treatment at least diagnosis once , and greater than or equal to 18 years of age. The grantor use code based on International Classification of Diseases, screening diabetes every year, major depression disorder, and general patient without any diabetes.And then sieve out type II diabetes and in the division of type II diabetes and major depression disorder in these patients as well completely diabetics and non-diabetic patients with major depression disorder of. Calculated the total prevalence of type II diabetes and non-diabetic population each year from 2000 to 2010, and calculate the total prevalence of major depression disorder according to age, gender. Finally,using Logistic regression to identify possible risk factors. Result: In 2000-2010，The prevalence Type II diabetes patients with major depression disorder is respectively, 5.05%, 5.04%, 4.87%, 4.79%, 4.68%, 4.72%, 4.60%, 4.56%, 4.44%, 4.32%, 4.18%.The total prevalence of non-diabetic patients with major depression disorder is 3.33%, 3.30%, 3.28%, 3.26%, 3.18%, 3.14%, 3.14%, 3.09%, 3.05%, 2.98%, 2.91%. After adjusting, regardless of age，type II diabetes come high than non-diabetics . Of gender, the prevalence of type II diabetes in patients with major depression disorder in women is highest, while the lowest falls on patients with major depression disorder in men without diabetes. Type II diabetes patients with major depression disorder in men older 45 years has a statistically significant protective effect than non-major depression disorder , live in City, diabetic complications, chronic diseases and related composite indicator has a higher risk of depression medication than Non-diabetic patients with major depression disorder. Conclusion: Type II diabetes itself is a high-risk group, and after mergering with major depression disorder, you can find a higher prevalence in women, and in patients under the age of 64 compared to the population of these patients completely without diabetes. Each year the medical cost in Taiwan nor only huge , but also boost the overall economic burden in policy and strategy considerations. This study provides relevant data, in order to facilitate further understanding of the situation of major depression disorder in Taiwanese .