Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya.

Autor:	Shirey K; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, P.O. Box 3837 Med Ctr, Durham, NC 27710, USA.; Department of Medicine, Duke University Medical Center, P.O. Box 3837 Med Ctr, Durham, NC 27710, USA.; Duke Global Health Institute, P.O. Box 90519, Durham, NC, USA., Manyara SM; Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret 30100, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya., Atwoli L; Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret 30100, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya.; Moi University School of Medicine, P.O. Box 4606, Eldoret 30100, Kenya., Tomlin R; Department of Pharmacy Practice, Purdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, USA., Gakinya B; Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret 30100, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya.; Moi University School of Medicine, P.O. Box 4606, Eldoret 30100, Kenya., Cheng S; Department of Pharmacy Practice, Purdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, USA., Kamano J; Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret 30100, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya., Laktabai J; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya.; Moi University School of Medicine, P.O. Box 4606, Eldoret 30100, Kenya.; Webuye District Hospital, P.O. Box 25, Webuye 50525, Kenya., Pastakia S; Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret 30100, Kenya.; Academic Model Providing Access to Healthcare (AMPATH), P.O. Box 4606, Eldoret 30100, Kenya.; Department of Pharmacy Practice, Purdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, USA.; Moi University School of Medicine, P.O. Box 4606, Eldoret 30100, Kenya.
Jazyk:	angličtina
Zdroj:	Journal of clinical & translational endocrinology [J Clin Transl Endocrinol] 2015 Feb 10; Vol. 2 (2), pp. 51-54. Date of Electronic Publication: 2015 Feb 10 (Print Publication: 2015).
DOI:	10.1016/j.jcte.2015.02.002
Abstrakt:	Objective: 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.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu