Abstract :
Background: India has the largest number of diabetic populations in the world, Depression is common
among people with diabetes, and it is associated with worse diabetes outcomes, non-adherence to
medication is potentially one of the most serious problems facing diabetes care delivery. The objective of
the study was to assess depression among type II diabetes patients and to assess adherence to therapy
among type II diabetes patients.
Methodology: This cross?sectional community?based study was conducted in the urban field practice area
of the Department of Community Medicine, SSMC, Tumkur. A total of 200 type II diabetes patients were
selected by simple random sampling method from the database of Urban Health Training Centre and were
traced to their homes for data collection. Data analysis was done using descriptive statistics like proportion
and inferential statistics like Chi-square test. P-value less than 0.05 was taken as statistically significant.
Results: Out of 200 diabetic subjects, 80 (40%) belongs to age group 50-59 years, females were 132 (66%),
Most of them 66 (33%) were having diabetes for duration of 6-10 years, most of them 176 (88%) were
on oral hypoglycaemic agents. Out of 200 study subjects 93 (46.5%) had low adherence, 106 (53%) had
medium adherence. 34 (17%) study subjects had depression using PHQ9 questionnaire. When we studied
association of depression with other factors, it showed statistically significant results with gender (P=0.003),
glycaemic status (P=0.01) and adherence to drugs (P=0.03). Association of drug adherence with depression
showed statistically significant results (P=0.01).
Conclusion: Health care professionals can play a major role in improving adherence to therapy in patients
of DM which prevents complication and improve Quality of life.
Keyword :
Diabetes Mellitus, Drug adherence, Depression