Healthcare utilization and expenditures among adults with type 2 diabetes mellitus and comorbid psychological distress.

ABSTRACT:

Background

Depressive symptoms and diabetes distress are associated with adverse outcomes in adults with type 2 diabetes mellitus (T2DM). However, no prior studies evaluated the association between healthcare expenditures, utilization, and psychological health in adults with T2DM in rural areas of China. The aim of this study was to explore the association between psychological health-specifically depressive symptoms and diabetes distress-and healthcare utilization and expenditures in this population.

Methods

This cross-sectional study was conducted in 15 rural health clinics in Jiangsu Province, China, and involved 843 adults with T2DM. Psychological health was assessed using the 17-item Diabetes Distress Scale (DDS-17) and the 10-item Center for Epidemiologic Studies Depre

SUBMITTER: Qu W 

PROVIDER: S-EPMC12893985 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature