Prevalence and Associated Factors of Depression Among Diabetic Outpatients in Ethiopia.

OBJECTIVE

To assess the prevalence and associated factors of depression among diabetic outpatients in 2 hospitals in Ethiopia.

METHODS

This institution-based cross-sectional study was conducted from April to May 2018. A systematic random-sampling technique was used to select study participants. Depression was assessed with the Hospital Anxiety and Depression Scale-Depression. Logistic regression analysis was used, and strength of the association was presented as adjusted odds ratio (AOR) with 95% CI; P <.05 was considered statistically significant.

RESULTS

The prevalence of depression among patients with diabetes was 37.8% (95% CI, 33.2%-42.6%). Female sex (AOR = 5.33, 95% CI, 3.05-9.33), type 2 diabetes mellitus (AOR = 3.28, 95% CI, 1.69-6.36), comorbid disease (AOR = 2.84, 95% CI, 1.39-5.83), current substance use (AOR = 1.74, 95% CI, 0.42-7.29), high fear of complications (AOR = 1.76, 95% CI, 1.05-2.93), and poor social support (AOR = 1.94, 95% CI, 1.03-3.67) were significantly associated with depression.

CONCLUSIONS

In the current study, the prevalence of depression among diabetic outpatients was higher than that of studies conducted in other settings. Depression was significantly associated with female sex, rural residency, type 2 diabetes mellitus, duration of illness > 6 years, high fear of complications, and poor social support.