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Ali H Mokdad - One of the best experts on this subject based on the ideXlab platform.

  • undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress the Behavioral Risk Factor surveillance system 2007
    Diabetes Care, 2010
    Co-Authors: Chaoyang Li, Joyce T Berry, Guixiang Zhao, Lina S Balluz, Earl S Ford, Ali H Mokdad
    Abstract:

    OBJECTIVE To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD). RESEARCH DESIGN AND METHODS We analyzed data of adults aged ≥18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale. RESULTS The prevalence of untreated SPD was estimated to be 2.1 ± 0.1% (mean ± SE), 3.4 ± 0.3%, and 2.0 ± 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) ( P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems ( P CONCLUSIONS People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.

  • multivitamin use in pregnant and nonpregnant women results from the Behavioral Risk Factor surveillance system
    Public Health Reports, 2009
    Co-Authors: Earl S Ford, Kevin M Sullivan, Fuad M Azrak, Ali H Mokdad
    Abstract:

    Objective. Relatively few studies have investigated characteristics associated with multivitamin use in pregnant women in the U.S. We examined multivitamin use among pregnant and nonpregnant women of childbearing age, in relation to socioeconomic Factors, demographic data, health behaviors, and health status. Methods. This investigation used 2004 data from the Behavioral Risk Factor Surveillance System (BRFSS), a cross-sectional study of noninstitutionalized adults aged 18 years or older. Analyses were limited to women 18 to 44 years of age in states and territories where questions about multivitamin use were asked. Results. Overall, 78% of pregnant women reported multivitamin use, compared with 47% of women who were not pregnant. Using logistic regression, two Factors were found to be significantly associated with multivitamin use in pregnant women: income and marital status. Among nonpregnant women, the significant predictors were age, income, physical activity, education level, desire for a child in the near future, race/ethnicity; body mass index, and cigarette smoking status. Conclusion. We found differences in the reported use of multivitamins between pregnant and nonpregnant women of childbearing age as well as predictors of use.

  • modifiable characteristics of a healthy lifestyle and chronic health conditions in older adults with or without serious psychological distress 2007 Behavioral Risk Factor surveillance system
    International Journal of Public Health, 2009
    Co-Authors: Lisa C Mcguire, Joyce T Berry, Tara W Strine, Stephanie Vachirasudlekha, Lynda A Anderson, Ali H Mokdad
    Abstract:

    Objective: The associations between serious psychological distress (SPD), chronic health conditions, healthy behaviors, healthy weight, and use of preventive services were examined among adults 65 years old and older using the 2007 Behavioral Risk Factor Surveillance System (BRFSS).

  • prevalence and correlates of undiagnosed depression among u s adults with diabetes the Behavioral Risk Factor surveillance system 2006
    Diabetes Research and Clinical Practice, 2009
    Co-Authors: Chaoyang Li, Guixiang Zhao, Earl S Ford, William S Pearson, Indu B Ahluwalia, Ali H Mokdad
    Abstract:

    Abstract Aims Many people with depression may be undiagnosed and thus untreated. We sought to assess the prevalence and correlates of undiagnosed depression among adults with diabetes. Methods Data of U.S. adults from the Behavioral Risk Factor Surveillance System in 2006 were analyzed. Cox proportional hazard regression analysis was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of correlates for undiagnosed depression. Results The unadjusted and age-adjusted prevalences of undiagnosed depression were 8.7% and 9.2%. About 45% of diabetes patients with depression were undiagnosed. After adjustments for all correlates, female gender (PR, 1.4; 95% CI: 1.1–1.8), poor or fair health (PR, 2.8; 95% CI: 2.1–3.6), lack of social and emotional support (PR, 2.5; 95% CI: 1.8–3.3), life dissatisfaction (PR, 3.5; 95% CI: 2.2–5.5), use of special equipment (PR, 1.4; 95% CI: 1.1–1.8), no leisure-time physical activity (PR, 1.5; 95% CI: 1.2–1.9), and comorbid cardiovascular disease (PR, 1.5; 95% CI: 1.2–1.9) were associated with undiagnosed depression. Conclusions Undiagnosed depression among people with diabetes was common. Because depression is associated with increased Risk of diabetes-related complications, early detection of depression is needed in clinical settings.

  • depression and anxiety in the united states findings from the 2006 Behavioral Risk Factor surveillance system
    Psychiatric Services, 2008
    Co-Authors: Tara W Strine, Joyce T Berry, Lina S Balluz, Ali H Mokdad, Olinda Gonzalez, Raquel Crider, Kurt Kroenke
    Abstract:

    Objective: This study examined the unadjusted and adjusted prevalence estimates of depression and anxiety at the state level and examined the odds ratios of depression and anxiety for selected Risk behaviors, obesity, and chronic diseases. Methods: The 2006 Behavioral Risk Factor Surveillance Survey, a random-digit-dialed telephone survey, collected depression and anxiety data from 217,379 participants in 38 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Current depressive symptoms were assessed with the standardized and validated eight-item Patient Health Questionnaire, and lifetime diagnosis of depression and anxiety was assessed by two additional questions (one question for each diagnosis). Results: The overall prevalence of current depressive symptoms was 8.7% (range by state and territory, 5.3%–13.7%); of a lifetime diagnosis of depression, 15.7% (range, 6.8%–21.3%); and of a lifetime diagnosis of anxiety, 11.3% (range, 5.4%–17.2%). After sociodemographic characteristics, adverse health behaviors, and chronic illnesses were adjusted for, cardiovascular disease, diabetes, asthma, smoking, and obesity were all significantly associated with current depressive symptoms, a lifetime diagnosis of anxiety, and a lifetime diagnosis of depression. Physically inactive adults were significantly more likely than those who were physically active to have current depressive symptoms or a lifetime diagnosis of depression, whereas those who drank heavily were significantly more likely than those who did not to have current depressive symptoms or a lifetime diagnosis of anxiety. Conclusions: Depression and anxiety were strongly associated with common chronic medical disorders and adverse health behaviors. Examination of mental health should therefore be an integral component of overall health care. (Psychiatric Services 59:1383–1390, 2008)

Earl S Ford - One of the best experts on this subject based on the ideXlab platform.

  • association between diagnosed diabetes and self reported cancer among u s adults findings from the 2009 Behavioral Risk Factor surveillance system
    Diabetes Care, 2011
    Co-Authors: Chaoyang Li, Lina S Balluz, Earl S Ford, Catherine A Okoro, James Tsai, Guixiang Zhao
    Abstract:

    OBJECTIVE To assess the association between diagnosed diabetes and self-reported cancer among U.S. adults. RESEARCH DESIGN AND METHODS We analyzed data for 397,783 adults who participated in the 2009 Behavioral Risk Factor Surveillance System and had valid data on diabetes and cancer. RESULTS After adjustment for potential confounders, diabetic men had higher adjusted prevalence ratios for cancers of the prostate (1.1 [95% CI 1.0–1.3]), colon (1.3 [1.0–1.7]), pancreas (4.6 [1.8–11.7]), rectum (2.2 [1.0–4.7]), urinary bladder (1.7 [1.2–2.2]), and kidney (1.9 [1.2–3.0]) than nondiabetic men (all P < 0.05). Diabetic women had higher adjusted prevalence ratios for cancers of the breast (1.1 [1.0–1.3]) and endometrium (1.6 [1.2–2.0]), and leukemia (2.3 [1.3–4.2]) than nondiabetic women (all P < 0.05). CONCLUSIONS Our results suggest that diabetic adults have higher prevalences of certain cancers than nondiabetic adults.

  • trends in low Risk lifestyle Factors among adults in the united states findings from the Behavioral Risk Factor surveillance system 1996 2007
    Preventive Medicine, 2010
    Co-Authors: Earl S Ford, Guixiang Zhao, Chaoyang Li, William S Pearson, James Tsai, Kurt J Greenlund
    Abstract:

    Abstract Objective Our objective was to examine recent trends in low-Risk lifestyle Factors for chronic diseases (not currently smoking, any exercise during the past 30 days, consuming fruits and vegetables ≥ 5 times per day, and body mass index 2 ) among U.S. adults. Methods We used data from 1,580,220 adults aged ≥ 18 years who participated in one of seven Behavioral Risk Factor Surveillance System surveys conducted from 1996 to 2007. Results The age-adjusted percentage of adults meeting all four low-Risk lifestyle Factors was 8.5% in 1996 and 7.7% in 2007 ( p for linear trend 2 were 70.9%, 76.2%, 47.9% and 24.3%, respectively, in 1996 and 77.1%, 80.0%, 37.8%, and 24.5%, respectively, in 2007. Women and whites were more likely than their counterparts to meet all four criteria. Conclusions From 1996 to 2007, the percentage of U.S. adults meeting all four low-Risk lifestyle Factors decreased slightly.

  • multiple healthy behaviors and optimal self rated health findings from the 2007 Behavioral Risk Factor surveillance system survey
    Preventive Medicine, 2010
    Co-Authors: James Tsai, Guixiang Zhao, Earl S Ford, Chaoyang Li, William S Pearson, Lina S Balluz
    Abstract:

    Abstract Objective The aim of this study was to examine the association between the number of healthy behaviors (i.e., not currently smoking, not currently drinking excessively, physically active, and consuming fruits and vegetables five or more times per day) and optimal self-rated health (SRH) among U.S. adults or adults with cardiovascular diseases (CVDs) or diabetes. Methods We estimated the age-standardized prevalence of optimal SRH among a total of 430,912 adults who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS). Prevalence ratios were produced with multivariate Cox regression models using number of healthy behaviors as a predictor; status of optimal SRH was used as an outcome variable while controlling for sociodemographic and health Risk Factors. Results The age-standardized prevalence of reporting optimal SRH was 83.5%, 55.6%, and 56.3% among adults overall, and adults with CVDs or diabetes, respectively. Also in the aforementioned order, adults who reported having four healthy behaviors had 33%, 85%, and 87% increased likelihoods of reporting optimal SRH, when compared to their counterparts who reported none of these behaviors. Conclusion The findings of this study indicate that number of healthy behaviors is associated with optimal SRH among adults, especially adults with CVDs or diabetes. These findings reinforce the support for identifying and implementing clinical and population-based intervention strategies that effectively promote multiple healthier lifestyle behaviors among adults.

  • undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress the Behavioral Risk Factor surveillance system 2007
    Diabetes Care, 2010
    Co-Authors: Chaoyang Li, Joyce T Berry, Guixiang Zhao, Lina S Balluz, Earl S Ford, Ali H Mokdad
    Abstract:

    OBJECTIVE To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD). RESEARCH DESIGN AND METHODS We analyzed data of adults aged ≥18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale. RESULTS The prevalence of untreated SPD was estimated to be 2.1 ± 0.1% (mean ± SE), 3.4 ± 0.3%, and 2.0 ± 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) ( P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems ( P CONCLUSIONS People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.

  • multivitamin use in pregnant and nonpregnant women results from the Behavioral Risk Factor surveillance system
    Public Health Reports, 2009
    Co-Authors: Earl S Ford, Kevin M Sullivan, Fuad M Azrak, Ali H Mokdad
    Abstract:

    Objective. Relatively few studies have investigated characteristics associated with multivitamin use in pregnant women in the U.S. We examined multivitamin use among pregnant and nonpregnant women of childbearing age, in relation to socioeconomic Factors, demographic data, health behaviors, and health status. Methods. This investigation used 2004 data from the Behavioral Risk Factor Surveillance System (BRFSS), a cross-sectional study of noninstitutionalized adults aged 18 years or older. Analyses were limited to women 18 to 44 years of age in states and territories where questions about multivitamin use were asked. Results. Overall, 78% of pregnant women reported multivitamin use, compared with 47% of women who were not pregnant. Using logistic regression, two Factors were found to be significantly associated with multivitamin use in pregnant women: income and marital status. Among nonpregnant women, the significant predictors were age, income, physical activity, education level, desire for a child in the near future, race/ethnicity; body mass index, and cigarette smoking status. Conclusion. We found differences in the reported use of multivitamins between pregnant and nonpregnant women of childbearing age as well as predictors of use.

Lina S Balluz - One of the best experts on this subject based on the ideXlab platform.

  • a systematic review of publications assessing reliability and validity of the Behavioral Risk Factor surveillance system brfss 2004 2011
    BMC Medical Research Methodology, 2013
    Co-Authors: Carol Pierannunzi, Shaohua Sean Hu, Lina S Balluz
    Abstract:

    Background In recent years response rates on telephone surveys have been declining. Rates for the Behavioral Risk Factor surveillance system (BRFSS) have also declined, prompting the use of new methods of weighting and the inclusion of cell phone sampling frames. A number of scholars and researchers have conducted studies of the reliability and validity of the BRFSS estimates in the context of these changes. As the BRFSS makes changes in its methods of sampling and weighting, a review of reliability and validity studies of the BRFSS is needed.

  • association between diagnosed diabetes and self reported cancer among u s adults findings from the 2009 Behavioral Risk Factor surveillance system
    Diabetes Care, 2011
    Co-Authors: Chaoyang Li, Lina S Balluz, Earl S Ford, Catherine A Okoro, James Tsai, Guixiang Zhao
    Abstract:

    OBJECTIVE To assess the association between diagnosed diabetes and self-reported cancer among U.S. adults. RESEARCH DESIGN AND METHODS We analyzed data for 397,783 adults who participated in the 2009 Behavioral Risk Factor Surveillance System and had valid data on diabetes and cancer. RESULTS After adjustment for potential confounders, diabetic men had higher adjusted prevalence ratios for cancers of the prostate (1.1 [95% CI 1.0–1.3]), colon (1.3 [1.0–1.7]), pancreas (4.6 [1.8–11.7]), rectum (2.2 [1.0–4.7]), urinary bladder (1.7 [1.2–2.2]), and kidney (1.9 [1.2–3.0]) than nondiabetic men (all P < 0.05). Diabetic women had higher adjusted prevalence ratios for cancers of the breast (1.1 [1.0–1.3]) and endometrium (1.6 [1.2–2.0]), and leukemia (2.3 [1.3–4.2]) than nondiabetic women (all P < 0.05). CONCLUSIONS Our results suggest that diabetic adults have higher prevalences of certain cancers than nondiabetic adults.

  • multiple healthy behaviors and optimal self rated health findings from the 2007 Behavioral Risk Factor surveillance system survey
    Preventive Medicine, 2010
    Co-Authors: James Tsai, Guixiang Zhao, Earl S Ford, Chaoyang Li, William S Pearson, Lina S Balluz
    Abstract:

    Abstract Objective The aim of this study was to examine the association between the number of healthy behaviors (i.e., not currently smoking, not currently drinking excessively, physically active, and consuming fruits and vegetables five or more times per day) and optimal self-rated health (SRH) among U.S. adults or adults with cardiovascular diseases (CVDs) or diabetes. Methods We estimated the age-standardized prevalence of optimal SRH among a total of 430,912 adults who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS). Prevalence ratios were produced with multivariate Cox regression models using number of healthy behaviors as a predictor; status of optimal SRH was used as an outcome variable while controlling for sociodemographic and health Risk Factors. Results The age-standardized prevalence of reporting optimal SRH was 83.5%, 55.6%, and 56.3% among adults overall, and adults with CVDs or diabetes, respectively. Also in the aforementioned order, adults who reported having four healthy behaviors had 33%, 85%, and 87% increased likelihoods of reporting optimal SRH, when compared to their counterparts who reported none of these behaviors. Conclusion The findings of this study indicate that number of healthy behaviors is associated with optimal SRH among adults, especially adults with CVDs or diabetes. These findings reinforce the support for identifying and implementing clinical and population-based intervention strategies that effectively promote multiple healthier lifestyle behaviors among adults.

  • undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress the Behavioral Risk Factor surveillance system 2007
    Diabetes Care, 2010
    Co-Authors: Chaoyang Li, Joyce T Berry, Guixiang Zhao, Lina S Balluz, Earl S Ford, Ali H Mokdad
    Abstract:

    OBJECTIVE To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD). RESEARCH DESIGN AND METHODS We analyzed data of adults aged ≥18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale. RESULTS The prevalence of untreated SPD was estimated to be 2.1 ± 0.1% (mean ± SE), 3.4 ± 0.3%, and 2.0 ± 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) ( P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems ( P CONCLUSIONS People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.

  • depression and anxiety in the united states findings from the 2006 Behavioral Risk Factor surveillance system
    Psychiatric Services, 2008
    Co-Authors: Tara W Strine, Joyce T Berry, Lina S Balluz, Ali H Mokdad, Olinda Gonzalez, Raquel Crider, Kurt Kroenke
    Abstract:

    Objective: This study examined the unadjusted and adjusted prevalence estimates of depression and anxiety at the state level and examined the odds ratios of depression and anxiety for selected Risk behaviors, obesity, and chronic diseases. Methods: The 2006 Behavioral Risk Factor Surveillance Survey, a random-digit-dialed telephone survey, collected depression and anxiety data from 217,379 participants in 38 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Current depressive symptoms were assessed with the standardized and validated eight-item Patient Health Questionnaire, and lifetime diagnosis of depression and anxiety was assessed by two additional questions (one question for each diagnosis). Results: The overall prevalence of current depressive symptoms was 8.7% (range by state and territory, 5.3%–13.7%); of a lifetime diagnosis of depression, 15.7% (range, 6.8%–21.3%); and of a lifetime diagnosis of anxiety, 11.3% (range, 5.4%–17.2%). After sociodemographic characteristics, adverse health behaviors, and chronic illnesses were adjusted for, cardiovascular disease, diabetes, asthma, smoking, and obesity were all significantly associated with current depressive symptoms, a lifetime diagnosis of anxiety, and a lifetime diagnosis of depression. Physically inactive adults were significantly more likely than those who were physically active to have current depressive symptoms or a lifetime diagnosis of depression, whereas those who drank heavily were significantly more likely than those who did not to have current depressive symptoms or a lifetime diagnosis of anxiety. Conclusions: Depression and anxiety were strongly associated with common chronic medical disorders and adverse health behaviors. Examination of mental health should therefore be an integral component of overall health care. (Psychiatric Services 59:1383–1390, 2008)

Chaoyang Li - One of the best experts on this subject based on the ideXlab platform.

  • association between diagnosed diabetes and self reported cancer among u s adults findings from the 2009 Behavioral Risk Factor surveillance system
    Diabetes Care, 2011
    Co-Authors: Chaoyang Li, Lina S Balluz, Earl S Ford, Catherine A Okoro, James Tsai, Guixiang Zhao
    Abstract:

    OBJECTIVE To assess the association between diagnosed diabetes and self-reported cancer among U.S. adults. RESEARCH DESIGN AND METHODS We analyzed data for 397,783 adults who participated in the 2009 Behavioral Risk Factor Surveillance System and had valid data on diabetes and cancer. RESULTS After adjustment for potential confounders, diabetic men had higher adjusted prevalence ratios for cancers of the prostate (1.1 [95% CI 1.0–1.3]), colon (1.3 [1.0–1.7]), pancreas (4.6 [1.8–11.7]), rectum (2.2 [1.0–4.7]), urinary bladder (1.7 [1.2–2.2]), and kidney (1.9 [1.2–3.0]) than nondiabetic men (all P < 0.05). Diabetic women had higher adjusted prevalence ratios for cancers of the breast (1.1 [1.0–1.3]) and endometrium (1.6 [1.2–2.0]), and leukemia (2.3 [1.3–4.2]) than nondiabetic women (all P < 0.05). CONCLUSIONS Our results suggest that diabetic adults have higher prevalences of certain cancers than nondiabetic adults.

  • trends in low Risk lifestyle Factors among adults in the united states findings from the Behavioral Risk Factor surveillance system 1996 2007
    Preventive Medicine, 2010
    Co-Authors: Earl S Ford, Guixiang Zhao, Chaoyang Li, William S Pearson, James Tsai, Kurt J Greenlund
    Abstract:

    Abstract Objective Our objective was to examine recent trends in low-Risk lifestyle Factors for chronic diseases (not currently smoking, any exercise during the past 30 days, consuming fruits and vegetables ≥ 5 times per day, and body mass index 2 ) among U.S. adults. Methods We used data from 1,580,220 adults aged ≥ 18 years who participated in one of seven Behavioral Risk Factor Surveillance System surveys conducted from 1996 to 2007. Results The age-adjusted percentage of adults meeting all four low-Risk lifestyle Factors was 8.5% in 1996 and 7.7% in 2007 ( p for linear trend 2 were 70.9%, 76.2%, 47.9% and 24.3%, respectively, in 1996 and 77.1%, 80.0%, 37.8%, and 24.5%, respectively, in 2007. Women and whites were more likely than their counterparts to meet all four criteria. Conclusions From 1996 to 2007, the percentage of U.S. adults meeting all four low-Risk lifestyle Factors decreased slightly.

  • multiple healthy behaviors and optimal self rated health findings from the 2007 Behavioral Risk Factor surveillance system survey
    Preventive Medicine, 2010
    Co-Authors: James Tsai, Guixiang Zhao, Earl S Ford, Chaoyang Li, William S Pearson, Lina S Balluz
    Abstract:

    Abstract Objective The aim of this study was to examine the association between the number of healthy behaviors (i.e., not currently smoking, not currently drinking excessively, physically active, and consuming fruits and vegetables five or more times per day) and optimal self-rated health (SRH) among U.S. adults or adults with cardiovascular diseases (CVDs) or diabetes. Methods We estimated the age-standardized prevalence of optimal SRH among a total of 430,912 adults who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS). Prevalence ratios were produced with multivariate Cox regression models using number of healthy behaviors as a predictor; status of optimal SRH was used as an outcome variable while controlling for sociodemographic and health Risk Factors. Results The age-standardized prevalence of reporting optimal SRH was 83.5%, 55.6%, and 56.3% among adults overall, and adults with CVDs or diabetes, respectively. Also in the aforementioned order, adults who reported having four healthy behaviors had 33%, 85%, and 87% increased likelihoods of reporting optimal SRH, when compared to their counterparts who reported none of these behaviors. Conclusion The findings of this study indicate that number of healthy behaviors is associated with optimal SRH among adults, especially adults with CVDs or diabetes. These findings reinforce the support for identifying and implementing clinical and population-based intervention strategies that effectively promote multiple healthier lifestyle behaviors among adults.

  • undertreatment of mental health problems in adults with diagnosed diabetes and serious psychological distress the Behavioral Risk Factor surveillance system 2007
    Diabetes Care, 2010
    Co-Authors: Chaoyang Li, Joyce T Berry, Guixiang Zhao, Lina S Balluz, Earl S Ford, Ali H Mokdad
    Abstract:

    OBJECTIVE To assess the prevalence and correlates of undertreatment for mental health problems among adults with diabetes and serious psychological distress (SPD). RESEARCH DESIGN AND METHODS We analyzed data of adults aged ≥18 years from the 2007 Behavioral Risk Factor Surveillance System. SPD was assessed with the Kessler-6 scale. RESULTS The prevalence of untreated SPD was estimated to be 2.1 ± 0.1% (mean ± SE), 3.4 ± 0.3%, and 2.0 ± 0.1% in the total population, diabetic population, and nondiabetic population, respectively. Among people with SPD, those with diagnosed diabetes had a lower rate of undertreatment for mental health problems (45.0%) than those without diabetes (54.9%) ( P = 0.002). Nonwhite race/ethnicity, advanced age, lack of health insurance, and currently being employed were associated with increased likelihood of undertreatment for mental health problems ( P CONCLUSIONS People with diagnosed diabetes may be screened for SPD and treated for specific mental health problems in routine health care.

  • prevalence and correlates of undiagnosed depression among u s adults with diabetes the Behavioral Risk Factor surveillance system 2006
    Diabetes Research and Clinical Practice, 2009
    Co-Authors: Chaoyang Li, Guixiang Zhao, Earl S Ford, William S Pearson, Indu B Ahluwalia, Ali H Mokdad
    Abstract:

    Abstract Aims Many people with depression may be undiagnosed and thus untreated. We sought to assess the prevalence and correlates of undiagnosed depression among adults with diabetes. Methods Data of U.S. adults from the Behavioral Risk Factor Surveillance System in 2006 were analyzed. Cox proportional hazard regression analysis was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of correlates for undiagnosed depression. Results The unadjusted and age-adjusted prevalences of undiagnosed depression were 8.7% and 9.2%. About 45% of diabetes patients with depression were undiagnosed. After adjustments for all correlates, female gender (PR, 1.4; 95% CI: 1.1–1.8), poor or fair health (PR, 2.8; 95% CI: 2.1–3.6), lack of social and emotional support (PR, 2.5; 95% CI: 1.8–3.3), life dissatisfaction (PR, 3.5; 95% CI: 2.2–5.5), use of special equipment (PR, 1.4; 95% CI: 1.1–1.8), no leisure-time physical activity (PR, 1.5; 95% CI: 1.2–1.9), and comorbid cardiovascular disease (PR, 1.5; 95% CI: 1.2–1.9) were associated with undiagnosed depression. Conclusions Undiagnosed depression among people with diabetes was common. Because depression is associated with increased Risk of diabetes-related complications, early detection of depression is needed in clinical settings.

William S Pearson - One of the best experts on this subject based on the ideXlab platform.

  • health care access and service use among Behavioral Risk Factor surveillance system respondents engaging in high Risk sexual behaviors 2016
    Sexually Transmitted Diseases, 2020
    Co-Authors: Kendra M Cuffe, Alexandra Coor, Matthew Hogben, William S Pearson
    Abstract:

    INTRODUCTION: Access to health care services such as screening, testing, and treatment of sexually transmitted diseases is vital for those who engage in high-Risk behaviors. Studies examining the relationship between high-Risk behaviors and health care access and utilization are crucial for determining whether persons at Risk are receiving appropriate health services. METHODS: We examined 2016 data from the Behavioral Risk Factor Surveillance System. Our study population included persons aged 18 to 65 years. χ and logistic regression analyses were used to examine relationships between high-Risk behaviors including drug use and high-Risk sexual behaviors, and access to and utilization of health care services. RESULTS: Among our study population, 6.2% engaged in a high-Risk behavior in the past year. Those engaging in high-Risk behaviors were more likely to have no health insurance coverage (odds ratio [OR], 1.23; 95% confidence interval [CI], 1.13-1.34), have no personal health care provider (OR, 1.14; 95% CI, 1.06-1.21), have foregone care because of cost (OR 1.54; 95% CI, 1.42-1.65), or have had no routine check-up in the past 2 years (OR 1.16; 95% CI, 1.09-1.25). CONCLUSIONS: Those who engaged in high-Risk behaviors had poorer health care access and utilization outcomes. Future studies should incorporate the relationships between changes in behaviors, health care access and utilization, and resulting sexually transmitted disease morbidity.

  • trends in low Risk lifestyle Factors among adults in the united states findings from the Behavioral Risk Factor surveillance system 1996 2007
    Preventive Medicine, 2010
    Co-Authors: Earl S Ford, Guixiang Zhao, Chaoyang Li, William S Pearson, James Tsai, Kurt J Greenlund
    Abstract:

    Abstract Objective Our objective was to examine recent trends in low-Risk lifestyle Factors for chronic diseases (not currently smoking, any exercise during the past 30 days, consuming fruits and vegetables ≥ 5 times per day, and body mass index 2 ) among U.S. adults. Methods We used data from 1,580,220 adults aged ≥ 18 years who participated in one of seven Behavioral Risk Factor Surveillance System surveys conducted from 1996 to 2007. Results The age-adjusted percentage of adults meeting all four low-Risk lifestyle Factors was 8.5% in 1996 and 7.7% in 2007 ( p for linear trend 2 were 70.9%, 76.2%, 47.9% and 24.3%, respectively, in 1996 and 77.1%, 80.0%, 37.8%, and 24.5%, respectively, in 2007. Women and whites were more likely than their counterparts to meet all four criteria. Conclusions From 1996 to 2007, the percentage of U.S. adults meeting all four low-Risk lifestyle Factors decreased slightly.

  • multiple healthy behaviors and optimal self rated health findings from the 2007 Behavioral Risk Factor surveillance system survey
    Preventive Medicine, 2010
    Co-Authors: James Tsai, Guixiang Zhao, Earl S Ford, Chaoyang Li, William S Pearson, Lina S Balluz
    Abstract:

    Abstract Objective The aim of this study was to examine the association between the number of healthy behaviors (i.e., not currently smoking, not currently drinking excessively, physically active, and consuming fruits and vegetables five or more times per day) and optimal self-rated health (SRH) among U.S. adults or adults with cardiovascular diseases (CVDs) or diabetes. Methods We estimated the age-standardized prevalence of optimal SRH among a total of 430,912 adults who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS). Prevalence ratios were produced with multivariate Cox regression models using number of healthy behaviors as a predictor; status of optimal SRH was used as an outcome variable while controlling for sociodemographic and health Risk Factors. Results The age-standardized prevalence of reporting optimal SRH was 83.5%, 55.6%, and 56.3% among adults overall, and adults with CVDs or diabetes, respectively. Also in the aforementioned order, adults who reported having four healthy behaviors had 33%, 85%, and 87% increased likelihoods of reporting optimal SRH, when compared to their counterparts who reported none of these behaviors. Conclusion The findings of this study indicate that number of healthy behaviors is associated with optimal SRH among adults, especially adults with CVDs or diabetes. These findings reinforce the support for identifying and implementing clinical and population-based intervention strategies that effectively promote multiple healthier lifestyle behaviors among adults.

  • prevalence and correlates of undiagnosed depression among u s adults with diabetes the Behavioral Risk Factor surveillance system 2006
    Diabetes Research and Clinical Practice, 2009
    Co-Authors: Chaoyang Li, Guixiang Zhao, Earl S Ford, William S Pearson, Indu B Ahluwalia, Ali H Mokdad
    Abstract:

    Abstract Aims Many people with depression may be undiagnosed and thus untreated. We sought to assess the prevalence and correlates of undiagnosed depression among adults with diabetes. Methods Data of U.S. adults from the Behavioral Risk Factor Surveillance System in 2006 were analyzed. Cox proportional hazard regression analysis was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs) of correlates for undiagnosed depression. Results The unadjusted and age-adjusted prevalences of undiagnosed depression were 8.7% and 9.2%. About 45% of diabetes patients with depression were undiagnosed. After adjustments for all correlates, female gender (PR, 1.4; 95% CI: 1.1–1.8), poor or fair health (PR, 2.8; 95% CI: 2.1–3.6), lack of social and emotional support (PR, 2.5; 95% CI: 1.8–3.3), life dissatisfaction (PR, 3.5; 95% CI: 2.2–5.5), use of special equipment (PR, 1.4; 95% CI: 1.1–1.8), no leisure-time physical activity (PR, 1.5; 95% CI: 1.2–1.9), and comorbid cardiovascular disease (PR, 1.5; 95% CI: 1.2–1.9) were associated with undiagnosed depression. Conclusions Undiagnosed depression among people with diabetes was common. Because depression is associated with increased Risk of diabetes-related complications, early detection of depression is needed in clinical settings.