Epidemiological determinants associated with depression among adult hypertensives in an urban field practice area: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20232381Keywords:
Hypertension, Depression, Urban area, IndiaAbstract
Background: Non-communicable diseases cause, more than 50% of deaths and cardiovascular diseases emerged as the most important cause of it. Hypertension affects about 1 billion people worldwide and it is estimated that by 2025, up to 1.58 billion adults while the comorbidity of depression, anxiety, and cardiovascular diseases is an important public health concern representing 31% of all deaths. Objectives were to study prevalence of depression among adult hypertensive study subjects and to assess the epidemiological determinants associated with depression among adult hypertensives.
Methods: A single centre, cross-sectional observational study was conducted among 350 hypertensive adult of urban field practice area of teaching medical institute with 10 months period from May 2019 to March 2020. A semi-structured, pre-tested questionnaire was used for data collection and 21 items self-reporting Becks Depression Inventory scale (BDI) was used for assessment of depression. The BDI score <10 denotes normal or no depression & the score >10 denotes depression. The data was analyzed using IBM SPSS software 16 trial version. The Chi-square test was used for test of significance.
Results: Out of total of 350 study subjects, males were 100 and females were 250. Out of them, 151 had depression. The overall proportion of depression among study subjects was found to be 43.14%.
Conclusions: In present study, proportion of depression among hypertensives was found to be high i.e. 43.14%. Lower socio-economic status, altered sleep pattern, addiction history, history of loneliness, low educational status more likely to have co-morbid depression.
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References
Gupta R, Xavier D. Hypertension: The most important non communicable disease risk factor in India. Indian Heart J. 2018;70(4):565-72.
Boima V, Tetteh J, Yorke E, Archampong T, Mensah G, Biritwum R, et al. Older adults with hypertension have increased risk of depression compared to their younger counterparts: Evidence from the World Health Organization study of Global Ageing and Adult Health Wave 2 in Ghana. J Affect Disord. 2020;277:329-36.
Basu S, Millett C. Social epidemiology of hypertension in middle-income countries: Determinants of prevalence, diagnosis, treatment, and control in the WHO SAGE study. Hypertension. 2013;62(1):18-26.
Madavanakadu DS, Benny AM, Scaria L, Nannatt A, Fendt-Newlin M. Social factors associated with chronic noncommunicable disease and comorbidity with mental health problems in India: A scoping review. BMJ. 2020;10(6):32-9.
Gupta PC, Gupta R, Pednekar MS. Hypertension prevalence and blood pressure trends in 88 653 subjects in Mumbai, India. J Hum Hypertens. 2004;18(12):907-10.
Gupta VK, Rai N, Toppo NA, Kasar PK, Nema P. An epidemiological study of prevalence of hypertension and its risk factors among non migratory tribal population of Mawai block of Mandla district of central India. Int J Community Med Public Heal. 2018;5(3):957.
Okunrinboye HI, Otakpor AN, Ilesanmi OS. Depression and medication adherence in patients with hypertension attending a tertiary health facility in South-West Nigeria. Pan Afr Med J. 2019;33:1-12.
Grimsrud A, Stein DJ, Seedat S, Williams D, Myer L. The association between hypertension and depression and anxiety disorders: Results from a nationallyrepresentative sample of South African adults. PLoS One. 2009;4(5):32-8.
Jiang C, Zhu F, Qin T. Relationships between chronic diseases and depression among middle-aged and elderly people in China: a prospective study from charls. Curr Med Sci. 2020;40(5):858-70
Poongothai S, Pradeepa R, Ganesan A, Mohan V. Prevalence of depression in a large urban south Indian population-The Chennai urban rural epidemiology study. PLoS One. 2009;4(9):32-8.
Ivanovs R, Kivite A, Ziedonis D, Mintale I, Vrublevska J, Rancans E. Association of depression and anxiety with the 10-year risk of cardiovascular mortality in a primary care population of Latvia using the SCORE system. Front Psychiatr. 2018;9:1-14.
Neupane D, Panthi B, McLachlan CS, Mishra SR, Kohrt BA, Kallestrup P. Prevalence of undiagnosed depression among persons with hypertension and associated risk factors: A cross-sectional study in urban Nepal. PLoS One. 2015;10(2):1-11.
T. PM, Varghese S, Dev V. G, J. J. Prevalence of depression among hypertensive individuals in urban Trivandrum: a cross sectional study. Int J Community Med Public Heal. 2017;4(6):2156.
Becks depression Inventory scale. Available at: https://www.ismanet.org/doctoryourspirit/pdfs/Beck-Depression-Inventory-BDI.pdf. Accessed on 20 February 2023.
Singh S, Shankar R, Singh GP. Prevalence and associated risk factors of hypertension: a cross-sectional study in urban Varanasi. Int J Hypertens. 2017.
Mahmood S, Hassan SZ, Tabraze M, Khan MO, Javed I, Ahmed A, et al. Prevalence and predictors of depression amongst hypertensive individuals in Karachi, Pakistan. Cureus. 2017;9(6):30-8.
Varghese S, Dev V. Prevalence of depression among hypertensive individuals in urban Trivandrum: a cross sectional study. Int J Community Med Public Heal. 2017;4(6):2156.
Stanetic K, Stanetic M, Jankovic S, Cubrilovic I. Prevalence of depression in patients with hypertension. IJCM. 2017;3(2):16-21.
Taqui AM, Itrat A, Qidwai W, Qadri Z. Depression in the elderly: Does family system play a role? A cross-sectional study. BMC Psychiatr. 2007;7:1-12.
Grover S, Malhotra N. Depression in elderly: A review of Indian research. J Geriatr Ment Heal. 2015;2(1):4.
