Prevalence of Depression and Associated Factors Among Adult Diabetic Men on Follow-Up at Goba and Robe Hospitals: Institution-Based Cross-Sectional Study.

BACKGROUND AND AIMS: Depression is a persistent mental illness that affects more than 5% of individuals worldwide. The co-occurrence of depression in individuals with diabetes may be linked to worse treatment. There is evidence to support a bidirectional relationship between diabetes and depression, in which diabetes elevates the risk of depression later in life and depression increases the risk of diabetes earlier in life. Depression increases the chance of acquiring diabetes-related complications, apart from being a risk factor for diabetes itself. This study aimed to determine the prevalence of depression and associated factors among adult diabetic men on follow-up at Robe and Goba hospitals.

METHODS: An institution-based cross-sectional study was conducted from March 1 to April 30, 2022, involving 420 adult diabetic men. The Patient Health Questionnaire-9 was used to screen for depression. Data were entered using Epidata version 4.6 and analyzed using SPSS version 26. Bivariable and multivariable logistic regression analysis were used to identify associations between depression and independent variables.

RESULTS: The prevalence of depression was 65 (15.5%) [95% CI: 12.1-19.5]. Age greater than 60 years compared to < 30 years (AOR = 4.2, 95% CI: 1.8-9.9), diabetes duration of 5-10 years (AOR = 5.7, 95% CI: 2.6-12.3), and moderate erectile dysfunction (AOR = 6.2, 95% CI: 1.7-22.9) were found to be associated with depression.

CONCLUSION: According to this study, 15% of adult diabetic men suffer from depression. The study also found that the prevalence of depression increased with age, protracted sickness, and moderate erectile dysfunction.