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Diabetes mellitus and comorbid depression in Zambia
Author(s) -
Hapunda G.,
Abubakar A.,
Pouwer F.,
Vijver F.
Publication year - 2015
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.12645
Subject(s) - depression (economics) , medicine , diabetes mellitus , odds ratio , comorbidity , logistic regression , odds , demography , psychiatry , endocrinology , sociology , economics , macroeconomics
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.