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首页> 外文期刊>Journal of Clinical & Translational Endocrinology >Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya
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Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya

机译：肯尼亚西部农村地区的糖尿病护理诊所患者的抑郁症状

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ObjectiveThe prevalence of diabetes in sub-Saharan Africa is rising, but its relationship to depression is not well-characterized. This report describes depressive symptom prevalence and associations with adherence and outcomes among patients with diabetes in a rural, resource-constrained setting.MethodsIn the Webuye, Kenya diabetes clinic, we conducted a chart review, analyzing data including medication adherence, hemoglobin A1c (HbA1c), clinic attendance, and PHQ-2 depression screening results.ResultsAmong 253 patients, 20.9% screened positive for depression. Prevalence in females was higher than in males; 27% vs 15% (p?=?0.023). Glycemic control trends were better in those screening negative; at 24 months post-enrollment mean HbA1c was 7.5 for those screening negative and 9.5 for those screening positive (p?=?0.0025). There was a nonsignificant (p?=?0.269) trend toward loss to follow-up among those screening positive.ConclusionsThese findings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence.
机译：目的撒哈拉以南非洲地区的糖尿病患病率呈上升趋势，但与抑郁症的关系尚不十分清楚。该报告描述了在资源有限的农村地区糖尿病患者中抑郁症状的患病率及其与依从性和预后的关系。结果显示，在253例患者中，有20.9％的患者筛查出了抑郁症阳性。女性的患病率高于男性; 27％和15％（p？=？0.023）。筛查阴性者的血糖控制趋势更好。入组后24个月，阴性筛查者的HbA1c为7.5，阳性筛查者的HbA1c为9.5（p？= 0.0025）。在筛查阳性的人群中，随访失误的趋势不明显（p = 0.269）。结论这些发现表明，肯尼亚西部农村地区的糖尿病患者常见抑郁症，这可能对糖尿病的控制和治疗依从性产生深远影响。

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