@article{ref1,
title="Neighborhood Social Environment and Patterns of Depressive Symptoms Among Patients with Type 2 Diabetes Mellitus",
journal="Community mental health journal",
year="2015",
author="O'Donnell, Alison and de Vries McClintock, Heather F. and Wiebe, Douglas J. and Bogner, Hillary R.",
volume="51",
number="8",
pages="978-986",
abstract="This study sought to examine whether neighborhood social environment was related to patterns of depressive symptoms among primary care patients with type 2 diabetes mellitus (DM). Neighborhood social environment was assessed in 179 patients with type 2 DM. Individual patient residential data at baseline was geo-coded at the tract level and was merged with measures of neighborhood social environment. Depressive symptoms at baseline and at 12-week follow up were assessed using the nine-item Patient Health Questionnaire (PHQ-9). Patients in neighborhoods with high social affluence, high residential stability, and high neighborhood advantage were much less likely to have a persistent pattern of depressive symptoms compared to a pattern of few or no depressive symptoms (adjusted odds ratio (OR) = 0.06, 95 % confidence interval (CI) [0.01, 0.36]). Detrimental neighborhood influences may amplify risk for persistent depressive symptoms.<p /><p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-015-9855-7",
url="http://dx.doi.org/10.1007/s10597-015-9855-7"
}