Towards a gendered diabetes care approach: a secondary analysis of conventional and complementary medicine diabetes health service use of older women with diabetes and a mental health co-morbidity.

Tracey Oorschot, Jon Adams, David Sibbritt

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Article in BMC complementary medicine and therapies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Tracey OorschotSchool of Public Health, University of Technology Sydney, PO Box 123 Broadway, Sydney, NSW, 2007, Australia.ORCID http://orcid.org/0000-0003-1053-1609

Jon AdamsSchool of Public Health, University of Technology Sydney, PO Box 123 Broadway, Sydney, NSW, 2007, Australia.ORCID http://orcid.org/0000-0002-9901-5717

David SibbrittSchool of Public Health, University of Technology Sydney, PO Box 123 Broadway, Sydney, NSW, 2007, Australia. david.sibbritt@uts.edu.au.ORCID http://orcid.org/0000-0003-3561-9447

Funding

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6 · The paper itself

Abstract

backgroundWomen with diabetes have different self-management and self-care characteristics and risk profiles to men. A difference of note is that women with diabetes are at greater risk of anxiety or depression. However, limited research has explored if the presence of a mental health co-morbidity is an influencing factor upon health service use pertinent to diabetes self-care. MATERIALS AND

methodsA secondary analysis of a chronic disease self-care sub-study stemming from the 45 and Up Study was conducted. Cross-sectional analyses were completed to examine the conventional and complementary medicine health service use patterns of women with diabetes and anxiety or depression, or anxiety and depression (n = 451, n = 439, n = 439, respectively).

resultsOf the women who completed the diabetes specific survey and mental health questions, 155 (35.3%) were classified as clinically depressed, 94 (20.8%) reported anxiety and 58 (13.2%) were classified as having both depression and anxiety. A regression analysis revealed women with co-morbid depression were the most likely to consult with their general practitioner 7 or more times annually (OR: 3.07,95% CI 1.35-6.89), those with co-morbid anxiety most likely to engage in yoga or meditation practice (OR: 4.37, 95% CI 2.05-9.32), and those with co-morbid depression and anxiety most likely to consult with a counsellor or psychologist (OR: 7.41, 95% CI 3.22-17.07).

conclusionOur findings reveal the need for a diverse range of health care professionals, both within conventional and complementary medicine, to engender coordinated and targeted diabetes care with a view to supporting the specific needs of women with diabetes.

Indexed as

AnxietyComplementary TherapiesDepressionDiabetes MellitusAgedComorbidityCross-Sectional StudiesFemaleHumansMiddle AgedSelf CareDiabetesHealth service useMental healthPublic healthWomen’s health

Identifiers

PMID42919215

DOI10.1186/s13063-022-06771-2

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