1082-P: Prevalence of Depression in U.S. Adults with and without Diabetes, 2011-2019

In 2019, about 1 in 10 U.S. adults had diagnosed diabetes, and 1 in 5 had diagnosed depression. Since depression and diabetes frequently coexist, we examined the trend in the prevalence of depression among U.S. adults with and without diagnosed diabetes using data from the 2011-2019 Behavioral Risk Factor Surveillance System. Both diabetes and depression information were self-reported. We also estimated state level depression trends by diabetes status. We used Joinpoint to assess trends. In 2019, the overall prevalence of depression in U.S. adults with and without diabetes was 24.7% (95% CI 23.9%-25.4%) and 17.9% (95% CI 17.6%-18.1%), respectively. From 2011 to 2019, the prevalence of depression was relatively stable for adults with diabetes (from 28.6% to 29.2%), but it increased for those without diabetes from 15.5% to 17.9% (annual percent change = 1.59, p = 0.015) (Figure). The prevalence of depression was consistently more than 10 percentage points higher among adults with diabetes than in those without the disease. The trend increased in some states while it went down in others. Although it varied by state, the depression prevalence among adults with diabetes was higher in states with a larger diabetes burden such as Kentucky (47.9%) and West Virginia (47.0%). Adults with diabetes are at increased risk for depression; these findings highlight the importance of screening for depression, especially among persons with diabetes.

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