Abstract
BackgroundDepression is one of the common and overwhelming mental disorder in diabetic patients. A little is known about the prevalence and associated factors of depression among diabetic patients at general hospitals. Therefore, this study aimed to assess the prevalence and associated factors of depression among patients with diabetes mellitus at Tirunesh-Beijing General Hospital, Addis Ababa, Ethiopia.MethodsAn institution-based cross-sectional study was conducted from February 8 to April 8, 2019. A systematic random sampling technique was used to select 403 participants. Depression was assessed by using patient health questionnaire-9 (PHQ-9). Oslo 3 social support scale was used to assess social support. The data were entered into Epidata version 3.1 and analyzed by the statistical package for social science version 23 software. We computed bivariate and multivariate binary logistic regressions to assess factors associated with depression. Statistical significance was declared at P-value < 0.05.ResultsA total of 403 study participants were interviewed with a response rate of 99%. The prevalence of depression among diabetic patients was 21.3%. In the final multivariate analysis, diagnosed with type II diabetes mellitus, being physically disabled and having poor social support were independent predictors of depression.ConclusionsType II diabetes mellitus, poor social support and physical disability were factors associated with depression. An early depression-focused regular screening for diabetic patient should be carried out by trained health professionals. Linkage with mental health service providers also needs to be considered. Clinicians needs to give emphasis to diabetic patients with physically disable and poor social support.
Highlights
Depression is one of the common and overwhelming mental disorder in diabetic patients
Study area This study was conducted at an outpatient department of Tirunesh Beijing General Hospital (TBGH), Addis Ababa, Ethiopia
The largest proportion (77.9%) of the respondents had an income of ≥1653 Ethiopian Birr (ETB) per month or 56 United States of America (USA) dollars (Table 1)
Summary
Depression is one of the common and overwhelming mental disorder in diabetic patients. A little is known about the prevalence and associated factors of depression among diabetic patients at general hospitals. This study aimed to assess the prevalence and associated factors of depression among patients with diabetes mellitus at Tirunesh-Beijing General Hospital, Addis Ababa, Ethiopia. Diabetes mellitus (DM) is a chronic metabolic condition that occurs when the body cannot use insulin. It is believed that type 1 diabetes mellitus is caused by genetics, but environmental factors like viruses might trigger the disease. Type 2 diabetes mellitus is caused by several reasons including lifestyle factors and genes [3]. World Health Organization (WHO) estimated that the number of patients with diabetes in Ethiopia is expected to be 1.8 million by 2030. The major focus of the country is on combating infectious diseases [8]
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