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DC Field | Value | Language |
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dc.contributor.author | Lukoye Atwoli | - |
dc.contributor.author | Sonak Pastaki | - |
dc.contributor.author | Kristen Shirey | - |
dc.contributor.author | Manyara Simon M. | - |
dc.contributor.author | Tomlin Ryan | - |
dc.contributor.author | Gakinya Benson | - |
dc.contributor.author | Cheng Stephanie | - |
dc.contributor.author | Kamano Jemima | - |
dc.contributor.author | Laktabai Jeremiah | - |
dc.date.accessioned | 2019-01-31T06:20:45Z | - |
dc.date.available | 2019-01-31T06:20:45Z | - |
dc.date.issued | 2015-02-02 | - |
dc.identifier.uri | https://doi.org/10.1016/j.jcte.2015.02.002 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/xmlui/handle/123456789/2562 | - |
dc.description.abstract | bjective: The prevalence of diabetes in sub-Saharan Africa is rising, but its relationship to depression is not well-characterized. This report describes depressive symptom prevalence and associations with adherence and outcomes among patients with diabetes in a rural, resource-constrained setting. Methods: In the Webuye, Kenya diabetes clinic, we conducted a chart review, analyzing data including medication adherence, hemoglobin A1c (HbA1c), clinic attendance, and PHQ-2 depression screening results. Results: Among 253 patients, 20.9% screened positive for depression. Prevalence in females was higher than in males; 27% vs 15% ( p ¼ 0.023). Glycemic control trends were better in those screening negative; at 24 months post-enrollment mean HbA1c was 7.5 for those screening negative and 9.5 for those screening positive ( p ¼ 0.0025). There was a nonsigni fi cant ( p ¼ 0.269) trend toward loss to follow-up among those screening positive. Conclusions: These fi ndings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence. Ó 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier Ltd. | en_US |
dc.subject | Diabetes | en_US |
dc.subject | Depression | en_US |
dc.subject | Resource-constrained | en_US |
dc.subject | Kenya | en_US |
dc.subject | Sub-Saharan Africa | en_US |
dc.title | Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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