Depression among people with type 2 diabetes mellitus in Godawari municipality, Lalitpur.

Thesis Report.

ABSTRACT:

Background: Diabetes mellitus is an emerging public health problem with
disproportionately higher prevalence in developing countries. Depression is an
important issue among people with type 2 diabetes mellitus which interferes
with diabetes management and complications. These factors will lead to
economic consequences and lower the quality of life for people with type 2
diabetes mellitus.

Objectives: To determine the prevalence of depression and its associated
factors among the people with type 2 diabetes mellitus of Godawari
municipality, Lalitpur.

Methods: Community-based, cross-sectional study was conducted among 278
people living with type 2 diabetes mellitus in Godawari municipality, Lalitpur.
Purposive sampling was used for the selection of participants. Face to face
interview was conducted using a pre-tested semi-structured questionnaire.
Depression was assessed using the Beck Depression Inventory - II scale and
adherence to anti-diabetic medication was assessed using General Medication
Adherence Scale. Analysis was done by Pearson’s chi-square tests and binary
logistic regression analysis in SPSS version 11.5.
Findings: The prevalence of depression in this study was 29.90 In bivariate
analysis, gender (p = < 0.001), ethnicity (p = < 0.001), marital status (p = 0.026)
education status (p = < 0.001) and adherence to antidiabetic medicine (p = <
0.001) were found significantly associated with depression. However,
multivariate analysis showed that the only significant factors for depression
were female [AOR = 2.29; 95% CI: 1.16 - 4.52] Dalit [AOR = 9.04; 95% CI: 2.40 - 33.99] and poor adherence to antidiabetic medicine [AOR = 4.61; 95% CI:
2.02 – 10.54].

Conclusion: The prevalence of depression among people living with type 2
diabetes mellitus is 29.90% which was slightly higher than the other study
conducted in Nepal. In bivariate analysis, gender, ethnicity, educational status,
illiterate and adherence to anti-diabetic medication were found significant
associated with depression. However, multivariate analysis showed that
significant factors for depression were female, Dalit and poor adherence to
antidiabetic medication.

Key words: Prevalence, people with type 2 diabetes mellitus, depression,
community.