The influence of educational attainment on depression and risk of type 2 diabetes

Briana Mezuk, William W. Eaton, Sherita Hill Golden, Yulan Ding

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives. We investigated the association between major depressive disorder and type 2 diabetes, whether that association is explained by health behaviors, and whether it is influenced by educational attainment. Methods. We used discrete-time Cox proportional hazards models to determine the risk of type 2 diabetes associated with depression in a 23-year population-based cohort study. Results. Major depressive disorder was associated with higher risk of type 2 diabetes (hazard ratio [HR]=1.62) after we controlled for age, gender, race, education, smoking status, alcohol use, social network size, and antidepressant use. This association was more pronounced after we controlled for body mass index, family history, and health behaviors (HR=2.04; 95% confidence interval=1.09, 3.81). In stratified analyses, the risk associated with major depressive disorder was elevated among those with 12 or fewer years of education compared with those with at least some education beyond high school. Conclusions. The risk of type 2 diabetes associated with major depressive disorder persists over the life course and is independent of the effects of health behaviors, body mass index, and family history. Education is an important moderator of this association.

Original languageEnglish (US)
Pages (from-to)1480-1485
Number of pages6
JournalAmerican journal of public health
Volume98
Issue number8
DOIs
StatePublished - Aug 1 2008
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'The influence of educational attainment on depression and risk of type 2 diabetes'. Together they form a unique fingerprint.

Cite this