Magnitude of Depression and associated factors among adult diabetic patients attending follow up at Ambo University Referral hospital, Ambo Town, Oromia, Ethiopia

Abstract

Background: Depression is one of the common mental disorders in diabetic patients. It causes severe health, social, and economic consequences in patients with diabetes mellitus. Objective: To assess the magnitude of depression and associated factors among adult diabetic patients attending follow up at Ambo University Referral Hospital, Oromia, Ethiopia, 2023. Methods: An institution based cross-sectional study was conducted among adult diabetic patients attending follow up at Ambo University Referral Hospital, participants were selected by systematic random sampling and the data was collected from March 1 to April 7, 2023 Depression was measured by using patient health questionnaire-9 ( PHQ-9). Data was entered into Epi-data version 7.1 and then exported to SPSS version 25 software and binary logistic regression model was used for analysis. In bi-variable logistic regression analysis variables with p-value < 0.25 were entered for the multi-variable logistic regression analysis. And variables with p-value less than 0.05 in the multi-variable logistic regression analysis were declared as statistically significant. Result: The magnitude of depression among patient with Diabetic was found to be 52.1% (95% CI: 47.1, 57). poor social support (AOR = 3.29, 95%CI (1.61–6.74)), moderate social support (AOR = 2.89, 95%CI (1.42–5.87)), obese (AOR = 2.62, 95%CI (1.06–6.49)), DM complications (AOR: 2.44, 95% CI (1.22- 4.87)), ever use cigarette (AOR = 3.197, 95% CI (1.103–9.269)), age 45 year and above (AOR 2.58; 95%, CI( 1.08- 6.145)), poor glycemic control (AOR: 3.063, 95% CI (1.081- 6.485)), divorced (AOR = 3.695, 95%CI (1.211–11.25)) and windowed marital status (AOR = 2.375, 95%CI (1.056–5.341)) were the factors associated with depression. Conclusion: In the current study the magnitude of depression is high among adult diabetic‟s patients attending follow up at Ambo university referral hospital. Obese, poor and moderate social support, ever use cigarette, age 45 year and above, diabetic complications, poor glycemic control, divorced and windowed marital status were the factors associated with depression. Trained health professionals are recommended to focus their efforts on screening, diagnosing, referring and effectively treating depression in diabetic‟s patients.