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http://ir.mu.ac.ke:8080/jspui/handle/123456789/3106
Title: | Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya |
Authors: | Atwoli, Lukoye |
Keywords: | Diabetes |
Issue Date: | 2015 |
Publisher: | Ampath |
Abstract: | 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=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=0.0025). There was a nonsignificant (p=0.269) trend toward loss to follow-up among those screening positive. Conclusions: These findings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence. |
URI: | http://ir.mu.ac.ke:8080/jspui/handle/123456789/3106 |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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Lukoye Atwoli 2015.pdf | 871.5 kB | Adobe PDF | View/Open |
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