Diabetes-related distress and its associated factors among people with type 2 diabetes in Southeast Ethiopia: a cross-sectional study

BMJ Open. 2024 Jan 4;14(1):e077693. doi: 10.1136/bmjopen-2023-077693.

Abstract

Background: Diabetes-related distress lowers the motivation for self-care, often leading to lowered physical and emotional well-being, poor diabetes control, poor medication adherence and increased mortality among individuals with diabetes.

Objective: To assess factors associated with diabetes-related distress among people living with type 2 diabetes in Southeast Ethiopia.

Design: Institution-based cross-sectional study was conducted.

Setting: Six diabetic follow-up care units at public hospitals in Southeast Ethiopia.

Participants: All adult people living with type 2 diabetes from the diabetic follow-up clinic.

The main outcome measures: Diabetes Distress Scale-17 questionnaire was used to assess diabetes-related distress.

Results: Out of the total 871 study participants intended, 856 participated in the study with a response rate of 98.3%. The findings showed that about 53.9% (95% CI 50.4% to 57.2%) of the patients have diabetes-related distress. Physical activity (adjusted OR, AOR 2.22; 95% CI 1.36 to 3.63), social support (AOR 4.41; 95% CI 1.62 to 12.03), glycaemic control (AOR 2.36; 95% CI 1.35 to 4.12) and other comorbidities (AOR 3.94; 95% CI 2.01 to 7.73) were factors that significantly associated with diabetes-related distress at p<0.05.

Conclusion: This study demonstrated that more than half of the participants had diabetes-related distress. Therefore, the identified factors of diabetes-related distress need to be a concern for health institutions and clinicians in the management of people living with type 2 diabetes.

Keywords: DIABETES & ENDOCRINOLOGY; Diabetes & endocrinology; General diabetes; Stress, Psychological.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2* / complications
  • Diabetes Mellitus, Type 2* / drug therapy
  • Diabetes Mellitus, Type 2* / epidemiology
  • Ethiopia / epidemiology
  • Humans
  • Medication Adherence
  • Surveys and Questionnaires