TY - JOUR
T1 - The economic burden of anxiety and depression on the working age population with diabetes in Spain
AU - Fernandez-Piciochi, Claudia
AU - Martín-Saborido, Carlos
AU - Bimbela-Pedrola, José Luís
AU - Sarria-Santamera, Antonio
N1 - Publisher Copyright:
© 2021 John Wiley & Sons Ltd.
PY - 2022/3
Y1 - 2022/3
N2 - Diabetes mellitus (DM) is a complex, chronic, multifactorial, and costly health problem representing 8% of total public health expenditures in Spain. The objective of this study was to analyse the prevalence and costs of Anxiety (AX) and Depression (DP) in the Spanish working population with DM. Data were obtained from the National Health Survey of Spain 2017. A multivariate analysis was conducted to predict the use of resources and absenteeism/presenteeism. Direct and indirect costs were calculated. The final population analysed contained 15,822 subjects (18-65 years old). DM prevalence was 4.8%, and AX-DP 10.6% (50.5% were men). Self-diagnosed health was rated as regular, poor or very poor in 89% of DM subjects with DP-AX. The average costs estimated were €24,643.41 for DM subjects with AX-DP and €20,059.53 for those with only DM. The total estimated 2017 economic impact of DM was 2.4% of Spanish gross domestic product (13% directly related to DP-AX). Indirect costs represented 72.7% of total DP-AX costs. Spanish society is paying a considerable price for the incidence of DP-AX levels with DM in the working population. This global challenge has important repercussions for individuals' quality of life, health systems, and countries' development and economic growth.
AB - Diabetes mellitus (DM) is a complex, chronic, multifactorial, and costly health problem representing 8% of total public health expenditures in Spain. The objective of this study was to analyse the prevalence and costs of Anxiety (AX) and Depression (DP) in the Spanish working population with DM. Data were obtained from the National Health Survey of Spain 2017. A multivariate analysis was conducted to predict the use of resources and absenteeism/presenteeism. Direct and indirect costs were calculated. The final population analysed contained 15,822 subjects (18-65 years old). DM prevalence was 4.8%, and AX-DP 10.6% (50.5% were men). Self-diagnosed health was rated as regular, poor or very poor in 89% of DM subjects with DP-AX. The average costs estimated were €24,643.41 for DM subjects with AX-DP and €20,059.53 for those with only DM. The total estimated 2017 economic impact of DM was 2.4% of Spanish gross domestic product (13% directly related to DP-AX). Indirect costs represented 72.7% of total DP-AX costs. Spanish society is paying a considerable price for the incidence of DP-AX levels with DM in the working population. This global challenge has important repercussions for individuals' quality of life, health systems, and countries' development and economic growth.
KW - Adolescent
KW - Adult
KW - Aged
KW - Anxiety/epidemiology
KW - Depression/epidemiology
KW - Diabetes Mellitus/epidemiology
KW - Financial Stress
KW - Health Care Costs
KW - Humans
KW - Male
KW - Middle Aged
KW - Quality of Life
KW - Spain/epidemiology
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=85117251105&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85117251105&partnerID=8YFLogxK
U2 - 10.1002/hpm.3367
DO - 10.1002/hpm.3367
M3 - Article
C2 - 34668585
AN - SCOPUS:85117251105
SN - 0749-6753
VL - 37
SP - 715
EP - 724
JO - International Journal of Health Planning and Management
JF - International Journal of Health Planning and Management
IS - 2
ER -
