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


Journal Article

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.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.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.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

International Standard Serial Number (ISSN)

  • 2214-6237

Digital Object Identifier (DOI)

  • 10.1016/j.jcte.2015.02.002


  • eng