article · BMC Public Health
A cross-sectional study conducted at Tirunesh-Beijing General Hospital in Addis Ababa, Ethiopia, investigated the prevalence of depression and its associated factors among patients with diabetes mellitus. Assessing 403 participants selected via systematic random sampling using the Patient Health Questionnaire-9 and the Oslo 3 Social Support Scale, the study recorded a depression prevalence of 21.3 percent. Statistical analysis revealed that having a diagnosis of type II diabetes mellitus, living with a physical disability, and receiving poor social support were independent predictors of depression in this patient group. The findings indicate a clear requirement for early, regular depression screening by trained healthcare professionals within routine diabetes care. Additionally, the results highlight the necessity of establishing direct referral linkages to mental health service providers, especially for diabetic individuals facing physical disabilities or lacking social support networks.
Depression frequently co-occurs with diabetes, complicating disease management and reducing overall patient well-being. By establishing local prevalence and identifying critical risk factors such as physical disability and poor social support, this research provides hospital administrators and clinicians with evidence to integrate routine psychological screenings into chronic disease clinics, enabling earlier intervention and better-targeted care for vulnerable diabetic individuals.
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BACKGROUND: 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. 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. METHODS: An 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. RESULTS: A 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. CONCLUSIONS: Type 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.
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DOI: 10.1186/s12889-020-8360-2
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