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- Title
Diabetes mellitus and comorbid depression in Zambia.
- Authors
Hapunda, G.; Abubakar, A.; Pouwer, F.; Vijver, F.
- Abstract
Aims To replicate, in Zambia, a recent global study by the WHO, which reported that the odds of depression were not increased in African people with diabetes, and to explore the sociodemographic and clinical factors associated with depression. Methods A total of 773 control subjects and 157 Zambian patients with diabetes completed the Major Depression Inventory and a list of demographic indicators. Results Compared with control subjects (mean ± sd Major Depression Inventory score 15.10 ± 9.19), depressive symptoms were significantly more common in patients with diabetes (mean ± sd Major Depression Inventory score 19.12 ± 8.95; P < 0.001). ancova showed that having diabetes [ F(1,698) = 16.50, P < 0.001], being female [ F(1,698) = 7.35, P < 0.01] and having low socio-economic status ( F(1,698) = 13.35, P < 0.001) were positive predictors of depression. Conclusions Contrary to the WHO study, we found that depression was a common comorbid health problem among Zambian people with diabetes. Clinicians should consider patients' health status, sex and socio-economic status as potential factors predicting depression.
- Subjects
ZAMBIA; DIAGNOSIS of mental depression; TYPE 2 diabetes diagnosis; TYPE 1 diabetes; ANALYSIS of covariance; MENTAL depression; DIABETES; COMORBIDITY; WORLD Health Organization; DATA analysis; SOCIOECONOMIC factors; CONTROL groups; HUMAN research subjects; PATIENT selection; DESCRIPTIVE statistics; DIAGNOSIS
- Publication
Diabetic Medicine, 2015, Vol 32, Issue 6, p814
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.12645