Sociodemographic, clinical, and psychosocial factors associated with depression among type 2 diabetic outpatients in Black Lion General Specialized Hospital, Addis Ababa, Ethiopia: a cross-sectional study

BMC Psychiatry

Research Article

Yohannes Gebreegziabhere Haile¹  Tesfa Dejenie Habtewold¹  Sisay Mulugeta Alemu² 

[1] Department of Nursing, College of Health Science, Debre Berhan University, P.O. BOX: 445, Debre Berhan, Ethiopia;International Medical Corps, Mental Health and Psychosocial Support Program, Dollo Ado Refugee Camp, Ethiopia;

关键词: Diabetes;    Depression;    Sociodemographic factors;    Clinical factors;    Psychosocial factors;    Outpatient;    Ethiopia;    Cross-sectional study;   

DOI  :  10.1186/s12888-016-0809-6

 received in 2015-04-28, accepted in 2016-04-08,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundDepression is a common comorbidity among patients with type 2 diabetes. There are several reports supporting a bidirectional association between depression and type 2 diabetes. However, there is limited data from non-western countries. Therefore, the aim of this study was to assess the sociodemographic, clinical, and psychosocial factors associated with co-morbid depression among type 2 diabetic outpatients presenting to Black Lion General Specialized Hospital, Addis Ababa, Ethiopia.MethodsThis institution based cross-sectional study design was conducted on a random sample of 276 type 2 diabetic outpatients. Type 2 diabetes patients were evaluated for depression by administering a validated nine-item Patient Health Questionnaire (PHQ-9). Risk factors for depression among type 2 diabetes patients were identified using multiple logistic regression analysis.ResultIn total, 264 study participants were interviewed with a response rate of 95.6 %. The prevalence of depression was 44.7 %. In the multivariate analysis, the statistically significant risk factors for depression were monthly family income ≤ 650 (p-value = 0.056; OR = 2.0; 95 % CI = 1.01, 4.2), presence of ≥3 diabetic complications (p-value = 0.03; OR = 3.3; 95 % CI = 1.1, 10.0), diabetic nephropathy (p-value = 0.01; OR = 2.9; 95 % CI = 1.2, 6.7), negative life events (p-value = 0.01; OR = 2.4; 95 % CI = 1.2, 4.5), and poor social support (p-value = 0.001; OR = 2.7; 95 % CI = 1.5, 5.0).ConclusionThis study demonstrated that depression is a common co-morbid health problem with a prevalence rate of 44.7 %. The presence of diabetic complications, low monthly family income, diabetic nephropathy, negative life event, and poor social support were the statistically significant risk factors associated with depression. We presume that the burden of mental health especially depression is high in the population with type 2 diabetes mellitus co-morbidity. Therefore, specific attention is needed to diagnose early and treat promptly.

【 授权许可】

CC BY   
© Habtewold et al. 2016