Depression and Diabetes in Filipino Women

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Chukrun, Tamar
- Affiliation: Gillings School of Global Public Health, Department of Nutrition

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As both depression and type 2 diabetes are becoming recognized problems beyond the developed world, it is imperative that more research be focused on the populations of low and middle-income countries. An understanding of depression and its comorbidities could have considerable implications for the health of such populations. The Cebu Longitudinal Health and Nutrition Survey (CLHNS) provides a unique opportunity to test for an association between depressive symptoms and type 2 diabetes incidence in the less studied setting of a middle income country. The large sample size and robust longitudinal data allow for establishment of temporality and a sequential analysis of the two illnesses. The survey measured depressive symptoms and type 2 diabetes using standardized measures in a large cohort of middle to older aged Filipino women, followed from 2005-2012. Since both depression and diabetes were measured using standardized measures (CES-D derived depression scale and blood glucose/HbA1c), the cohort allows for precision that has not been consistently possible in other previous studies. We conducted prospective analysis of depressive symptoms in 2005 as predictors of type 2 diabetes incidence in 2012. Because the survey included measurements of socioeconomic factors, weight, adiposity, education, we were able to explore these factors as possible confounders.

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