Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya.
JOURNAL OF CLINICAL AND TRANSLATIONAL ENDOCRINOLOGY 2015;
2:51-54. [PMID:
29159110 PMCID:
PMC5684961 DOI:
10.1016/j.jcte.2015.02.002]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Revised: 01/29/2015] [Accepted: 02/02/2015] [Indexed: 12/03/2022]
Abstract
Objective
The prevalence of diabetes in sub-Saharan Africa is rising, but its relationship to depression is not well-characterized. This report describes depressive symptom prevalence and associations with adherence and outcomes among patients with diabetes in a rural, resource-constrained setting.
Methods
In the Webuye, Kenya diabetes clinic, we conducted a chart review, analyzing data including medication adherence, hemoglobin A1c (HbA1c), clinic attendance, and PHQ-2 depression screening results.
Results
Among 253 patients, 20.9% screened positive for depression. Prevalence in females was higher than in males; 27% vs 15% (p = 0.023). Glycemic control trends were better in those screening negative; at 24 months post-enrollment mean HbA1c was 7.5 for those screening negative and 9.5 for those screening positive (p = 0.0025). There was a nonsignificant (p = 0.269) trend toward loss to follow-up among those screening positive.
Conclusions
These findings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence.
Patients attending a rural diabetes clinic were screened for depression.
Screen negative patients had better glycemic control trends.
Screen positive patients showed higher trends of loss to follow-up.
There is need for psychological care among patients with diabetes.
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