Depression and Associated Factors Among Adult Diabetic Patients Attending at Diabetic Follow up Clinic of Mikilililand Health Center, Addis Ababa, Ethiopia, 2023: A Facility Based Cross-Sectional Study

Abstract

<title>Abstract</title> <bold>Background</bold> Globally prevalence of diabetes mellitus is increasing at an alarming rate and causes a tremendous burden for the patient, the family, the society as well as the healthcare system. Early diagnosis and treatment with glycemic control and preventing diabetes related complications has been considered as an important treatment success for patients with diabetes mellitus. Depression has a potential on-going and devastating outcome in patients with diabetes mellitus. As a result, addressing the psychosocial support and prevention of depression is a key treatment success in patients with diabetes mellitus. <bold>Objective</bold> <italic>The aim of this study was</italic> to assess depression and its associated factors among type-2 diabetic patients attending at diabetic follow up clinic of Mikililand health center, Addis Ababa, Ethiopia, 2023. <bold>Methods</bold> A facility based cross-sectional study design was conducted among 162 type-2 diabetic patients attending at diabetic follow up clinic in Mikililand health center, Addis Ababa, Ethiopia, 2023. Multivariate <italic>logistic regression analysis was used to identify</italic> factors associated with depression. All predictor variables that had a significant association in bi variable analysis with p-value ≤ 0.25 were entered into multi variable logistic regression model to assess the association between dependent and independent variables. P-value ≤ 0.05 in multi variable logistic regressions were considered as statistically significant. <bold>Result</bold> 159 (98.15% response rate) type 2 diabetic patients were participated and among the study participants, the overall prevalence of depression was 41.5%. Patients living in rent house [AOR = 5.927 (95% CI = 1.743,20.148)], longer duration of diabetes &gt; 5 yrs since diagnosis [AOR = 16.038 (95% CI = 1.611,159.3648)],having family history of diabetes [AOR = 4.419 (95% CI = 1.044,18.701)], presence of diabetes related complications [AOR = 9.166 (95% CI = 2.866, 29.314)] and Alcohol use status [AOR = 30.148 (95% CI = 4.670,194.630)] were significantly associated with depression among T2DM patients. <bold>Conclusions</bold> This study indicated the overall prevalence of depression found to be high, which was 41.5%. The study found that depression status was highly influenced by being female patients, the longer duration of diabetes mellitus diagnosed, treatment and the presence of diabetes related complications, poor glycemic control, presence of comorbid medical illnesses, and patient’s alcohol use status and housing condition status. Therefore, more efforts are required to screen all adult diabetic patients for depression with an integration psychological assessment and counseling service provisions in chronic follow up OPD.