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

Published online

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Shirey, K; Manyara, SM; Atwoli, L; Tomlin, R; Gakinya, B; Cheng, S; Kamano, J; Laktabai, J; Pastakia, S

Published Date

  • June 2015

Published In

Volume / Issue

  • 2 / 2

Start / End Page

  • 51 - 54

PubMed ID

  • 29159110

Pubmed Central ID

  • 29159110

Electronic International Standard Serial Number (EISSN)

  • 2214-6237

Digital Object Identifier (DOI)

  • 10.1016/j.jcte.2015.02.002


  • eng

Conference Location

  • Netherlands