P-09: Prevalence and predictors of diabetes distress among adolescents with type 1 diabetes at a referral hospital in western Kenya
M B Oeba, A Omar, L Mungai, P Amolo, P Laigong, A MbwayoAbstract
Introduction
Diabetes distress (DD) is a significant psychological burden among adolescents with Type 1 Diabetes (T1D), stemming from the relentless demands of disease management. Despite its global prevalence, data from resource-limited settings like Kenya remain scarce.
Objectives
This study aimed to determine the prevalence and predictors of DD among adolescents with T1D at Kisii Teaching and Referral Hospital (KTRH), Kenya.
Methods
A cross-sectional study was conducted among 122 adolescents aged 10–19 years with T1D and their caregivers. Diabetes distress was assessed using the validated Problem Areas in Diabetes (PAID) scale, with scores ≥40 indicating diabetes distress. Data were analyzed using R software, with bivariate and multivariable logistic regression to identify factors associated with DD.
Results
The prevalence of DD was 55.7% (95% CI: 46.5%–64.6%). Predictors of DD included older age (≥15 years; OR 3.44, p = 0.001), lack of medical insurance (OR 6.45, p < 0.001), comorbidities (OR 11.36, p = 0.022), elevated HbA1c (OR 8.33, p = 0.001), and use of premixed insulin regimen (adjusted OR 13.27, p = 0.006). Lower caregiver education levels also correlated with higher DD.
Conclusions
Over half of the adolescents with T1D experienced DD, with the use premixed insulin regimen being the most significant predictor. These findings stress the need for targeted psychosocial interventions, improved access to intensive insulin regimens, and enhanced support systems to mitigate DD in this vulnerable population.