@article {Shirey2015,
	title = {{Symptoms of depression among patients attending a diabetes care clinic in rural western Kenya}},
	journal = {Journal of Clinical and Translational Endocrinology},
	volume = {2},
	number = {2},
	year = {2015},
	abstract = {{\textcopyright} 2015 The Authors.Abstract Objective The 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. Methods In 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. Results Among 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. Conclusions These findings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence.},
	keywords = {Diabetes, Kenya, Resource-constrained, [Depression},
	issn = {22146237},
	doi = {10.1016/j.jcte.2015.02.002},
	author = {Shirey, K. and Manyara, S.M. and Atwoli, L. and Tomlin, R. and Gakinya, B. and Cheng, S. and Kamano, J. and Laktabai, J. and Pastakia, S.}
}
