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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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      A 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                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009451,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009439,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009439, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 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\u20136.89), those with co-morbid anxiety most likely to engage in yoga or meditation practice (OR: 4.37, 95% CI 2.05\u20139.32), and those with co-morbid depression\n                      <jats:italic>and<\/jats:italic>\n                      anxiety most likely to consult with a counsellor or psychologist (OR: 7.41, 95% CI 3.22\u201317.07).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12906-026-05413-3","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T02:28:17Z","timestamp":1785205697000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["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"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1053-1609","authenticated-orcid":false,"given":"Tracey","family":"Oorschot","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9901-5717","authenticated-orcid":false,"given":"Jon","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3561-9447","authenticated-orcid":false,"given":"David","family":"Sibbritt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"issue":"SupplSuppl","key":"5413_CR1","doi-asserted-by":"publisher","first-page":"S29","DOI":"10.1016\/j.ypmed.2011.11.011","volume":"54","author":"S Prasad","year":"2012","unstructured":"Prasad S, Sung B, Aggarwal BB. 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