Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia
Objectives The primary objective of this study was to evaluate the prevalence of depression and its sociodemographic predictors, clinical predictors and glycaemic control among adult patients with type 2 diabetes at Sheik Hassan Yabare Comprehensive Specialized Hospital (SHYCSH), Jigjiga, Ethiopia.D...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/11/e073123.full |
| _version_ | 1797431515663040512 |
|---|---|
| author | Ahmed Muhye Seid Kalkidan Hassen Mohammed Ibrahim Seid Yimam Ali Samuel Taddese Abebe Zelalem Banjaw |
| author_facet | Ahmed Muhye Seid Kalkidan Hassen Mohammed Ibrahim Seid Yimam Ali Samuel Taddese Abebe Zelalem Banjaw |
| author_sort | Ahmed Muhye Seid |
| collection | DOAJ |
| description | Objectives The primary objective of this study was to evaluate the prevalence of depression and its sociodemographic predictors, clinical predictors and glycaemic control among adult patients with type 2 diabetes at Sheik Hassan Yabare Comprehensive Specialized Hospital (SHYCSH), Jigjiga, Ethiopia.Design A hospital-based cross-sectional study was conducted.Setting Patients with type 2 diabetes mellitus (T2DM) at Sheik Hassan Yabare Comprehensive Specialized Hospital, for chronic follow-up from 3 October 2022 to 13 November 2022.Participants Randomly selected 278 patients with T2DM age 18 years and older, with a duration of 1 year or more since diagnosis, who had a diabetic follow-up at SHYCSH.Main outcome measures Depression was assessed using the Patient Health Questionnaire.Results A total of 263 participants were included, with a response rate of 94.6%. Of the respondents, 134 (51%) were male, making up more than half of the total. The overall prevalence of depression was 47.1% (95% CI 41.1 to 53.2). Depression was further classified, as follows, based on its severity: the majority (66 or 25.1%) had mild depression, followed by 44 (16.7%) with moderate depression, 9 (3.4%) with moderately severe depression and 5 (1.9%) with severe depression. A multivariable logistic regression analysis indicated that poor glycaemic control (adjusted OR (AOR)=1.93; 95% CI 1.05 to 3.53), DM complications (AOR=2.02; 95% CI 1.09 to 3.74) and DM duration of 6–10 years since diagnosis (AOR=2.29; 95% CI 1.21 to 4.34) were independently associated with depression.Conclusions Our study revealed a significant burden of depression among patients with T2DM receiving follow-up care at the hospital. Glycaemic control, the presence of complications and a longer duration of diabetes were identified as predictors of depression. Therefore, concerned stakeholders should work to improve blood sugar control and promote healthy behaviour, particularly among those with complications or who have been sick for an extended period of time. |
| first_indexed | 2024-03-09T09:46:11Z |
| format | Article |
| id | doaj.art-d4affb2a1ab546249de84bf9081a9bac |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-09T09:46:11Z |
| publishDate | 2023-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-d4affb2a1ab546249de84bf9081a9bac2023-12-02T00:35:08ZengBMJ Publishing GroupBMJ Open2044-60552023-11-01131110.1136/bmjopen-2023-073123Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, EthiopiaAhmed Muhye Seid0Kalkidan Hassen1Mohammed Ibrahim2Seid Yimam Ali3Samuel Taddese Abebe4Zelalem Banjaw5Public Health, Dire Dawa University, Dire Dawa, EthiopiaNutrition and Dietetics, Jimma University College of Public Health and Medical Sciences, Jimma, Oromia, EthiopiaBiomedical Science, Jimma University College of Public Health and Medical Sciences, Jimma, Oromia, EthiopiaMedicine, Jigjiga University, Jigjiga, Somali, EthiopiaBiomedical Science, Jimma University College of Public Health and Medical Sciences, Jimma, Oromia, EthiopiaBiomedical Science, Jimma University College of Public Health and Medical Sciences, Jimma, Oromia, EthiopiaObjectives The primary objective of this study was to evaluate the prevalence of depression and its sociodemographic predictors, clinical predictors and glycaemic control among adult patients with type 2 diabetes at Sheik Hassan Yabare Comprehensive Specialized Hospital (SHYCSH), Jigjiga, Ethiopia.Design A hospital-based cross-sectional study was conducted.Setting Patients with type 2 diabetes mellitus (T2DM) at Sheik Hassan Yabare Comprehensive Specialized Hospital, for chronic follow-up from 3 October 2022 to 13 November 2022.Participants Randomly selected 278 patients with T2DM age 18 years and older, with a duration of 1 year or more since diagnosis, who had a diabetic follow-up at SHYCSH.Main outcome measures Depression was assessed using the Patient Health Questionnaire.Results A total of 263 participants were included, with a response rate of 94.6%. Of the respondents, 134 (51%) were male, making up more than half of the total. The overall prevalence of depression was 47.1% (95% CI 41.1 to 53.2). Depression was further classified, as follows, based on its severity: the majority (66 or 25.1%) had mild depression, followed by 44 (16.7%) with moderate depression, 9 (3.4%) with moderately severe depression and 5 (1.9%) with severe depression. A multivariable logistic regression analysis indicated that poor glycaemic control (adjusted OR (AOR)=1.93; 95% CI 1.05 to 3.53), DM complications (AOR=2.02; 95% CI 1.09 to 3.74) and DM duration of 6–10 years since diagnosis (AOR=2.29; 95% CI 1.21 to 4.34) were independently associated with depression.Conclusions Our study revealed a significant burden of depression among patients with T2DM receiving follow-up care at the hospital. Glycaemic control, the presence of complications and a longer duration of diabetes were identified as predictors of depression. Therefore, concerned stakeholders should work to improve blood sugar control and promote healthy behaviour, particularly among those with complications or who have been sick for an extended period of time.https://bmjopen.bmj.com/content/13/11/e073123.full |
| spellingShingle | Ahmed Muhye Seid Kalkidan Hassen Mohammed Ibrahim Seid Yimam Ali Samuel Taddese Abebe Zelalem Banjaw Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia BMJ Open |
| title | Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia |
| title_full | Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia |
| title_fullStr | Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia |
| title_full_unstemmed | Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia |
| title_short | Depression and glycaemic control among adult patients with type 2 diabetes: a cross-sectional study in a comprehensive specialised hospital, Jigjiga, Ethiopia |
| title_sort | depression and glycaemic control among adult patients with type 2 diabetes a cross sectional study in a comprehensive specialised hospital jigjiga ethiopia |
| url | https://bmjopen.bmj.com/content/13/11/e073123.full |
| work_keys_str_mv | AT ahmedmuhyeseid depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia AT kalkidanhassen depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia AT mohammedibrahim depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia AT seidyimamali depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia AT samueltaddeseabebe depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia AT zelalembanjaw depressionandglycaemiccontrolamongadultpatientswithtype2diabetesacrosssectionalstudyinacomprehensivespecialisedhospitaljigjigaethiopia |