Depressive Symptoms, Perceived Stress, and Associated Socio-Demographic and Diabetes-Related Factors in People With Type 2 Diabetes in Nepal

IF 1.4 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Asia-Pacific Journal of Public Health Pub Date : 2024-09-11 DOI:10.1177/10105395241277892

Ashmita Karki, Corneel Vandelanotte, Lal B. Rawal

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引用次数: 0

Abstract

The aim of this study was to assess the prevalence and associated factors of depressive symptoms and perceived stress among people with Type 2 diabetes mellitus (T2DM) in Nepal. Using a cross-sectional design, we collected data from 481 participants with T2DM in Kavrepalanchok and Nuwakot districts of Nepal. Depressive symptoms and perceived stress were assessed using Patient Health Questionnaire (PHQ-9) and Perceived Stress Scale, respectively. Associated independent variables were examined using binary logistic regression analyses. Of 481 participants, 123 (25.8%) had depressive symptoms (PHQ-9 score ≥5) and 156 (32.4%) experienced perceived stress. Low monthly income (<USD 215.52) and low diabetes medication adherence were significantly associated with both depressive symptoms and perceived stress. Mandatory screening and timely treatment for mental health conditions and assessment of medication adherence should be incorporated in the routine primary care of T2DM patients. A person-centred approach to T2DM management, considering the socio-economic determinants of the disease, should be prioritized by the healthcare system. Future studies should identify integrated care for the prevention and management of mental health comorbidities.

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尼泊尔 2 型糖尿病患者的抑郁症状、感知压力以及相关的社会人口和糖尿病因素

本研究旨在评估尼泊尔 2 型糖尿病（T2DM）患者中抑郁症状和感知压力的发生率及相关因素。我们采用横断面设计，收集了尼泊尔卡夫雷帕兰乔克县和努瓦科特县 481 名 T2DM 患者的数据。抑郁症状和感知压力分别采用患者健康问卷（PHQ-9）和感知压力量表进行评估。相关自变量采用二元逻辑回归分析进行检验。在 481 名参与者中，123 人（25.8%）有抑郁症状（PHQ-9 评分≥5 分），156 人（32.4%）有感知到的压力。月收入低（215.52 美元）和糖尿病服药依从性低与抑郁症状和感知压力显著相关。应在 T2DM 患者的常规初级保健中纳入精神健康状况的强制筛查和及时治疗，以及对服药依从性的评估。医疗系统应优先考虑以人为本的 T2DM 管理方法，同时考虑该疾病的社会经济决定因素。未来的研究应确定预防和管理精神健康合并症的综合护理。

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来源期刊

Asia-Pacific Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.30

自引率

4.00%

发文量

147

审稿时长

6 months

期刊介绍： Asia-Pacific Journal of Public Health (APJPH) is a peer-reviewed, bimonthly journal that focuses on health issues in the Asia-Pacific Region. APJPH publishes original articles on public health related issues, including implications for practical applications to professional education and services for public health and primary health care that are of concern and relevance to the Asia-Pacific region.