Correlates of Undiagnosed Depression among Diabetic Patients on Follow-Up at a Regional Referral Hospital in Western Kenya

Abstract

The prevalence of diabetes mellitus in Kenya is estimated to be 4.66%. The comorbidity of diabetes and depression is associated with poor outcomes. The study aimed at determining the prevalence and factors associated with depression among diabetics. A cross-sectional survey was conducted among 181 diabetics attending clinic at a referral hospital in western Kenya. A questionnaire was used to collect data on the independent variables. Beck’s Depression Inventory (BDI-II) was used to assess depression symptoms. Depression was observed in 19% of the participants. Female gender, being single, urban residence, low income and no family support were significantly associated with depression. Others are; longer duration of illness, difficulties adhering to treatment and alcohol consumption (p<0.05). A significant proportion of diabetic patients have comorbid depression. Integration of mental health services into diabetics care setting will lead to detection and early treatment of depression.