Prevalence of Depression in Diabetes Mellitus Patients with Associated Co-Morbidities in Addis Ababa, Ethiopia, 2022

Abstract

Background: Diabetes and depression are extremely common, devastating, and incapacitating diseases. Co-existing Depression in people with diabetes results in decreased adherence, poor health outcomes, higher diabetes complications, decreased quality of life, increased disability, and lost productivity with an increased risk of death. The aim of the study was to assess the prevalence of depression in Diabetes Mellitus patients with associated co-morbidities in Addis Ababa, Ethiopia, 2022. Methods: An institutional-based cross-sectional study design was conducted among 403 diabetes patients in the armed force general hospital, Addis Ababa, Ethiopia, from April to Jun 11, 2022. The participants were selected using systematic random sampling. Data was collected by face-to-face interview using a standardized and pretested questionnaire. Depression was assessed using the patient health questionnaire. Data was entered into EPI INFO and analyzed by SPSS version 25 software. Logistic regression analyses were performed to identify factors associated with depression, and a significant association was declared at a p-value less than 0.05 and a 95% confidence interval. Result: The study showed that the overall prevalence of depression was found to be 37.2% and respondents who had moderate social support (AOR = 2.429, 95% CI: 1.208–4.881), age 35 (AOR = 0.358, 95% CI: 0.181–0.706), age 45–54 (AOR = 0.431, 95% CI: 0.232–0.801), insulin users (AOR = 0.471, 95% CI: 0.227-0.976), metformin users (AOR = 0.104, 95% CI: 0.105-0.397), liver disease (AOR = 3.077, 95%CI: 2.437–7.265), and could read and write (AOR = 8.253, 95% CI: 3.278–24.527) were significantly associated with depression. Conclusion: This study demonstrated that the prevalence of depression among diabetes patients at Armed Forces General Hospital was found to be high. Furthermore, depression was associated with social support, age, anti-diabetic drug users, liver disease, and educational level. Different stakeholders, including hospital managers, health professionals, and different nongovernmental organizations, should give emphasis to linking depressive patients with hospitalization.