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
| Autor: | George A. Mensah, Timothy N. Archampong, John K. A. Tetteh, Vincent Boima, Ernest Yorke, Richard B. Biritwum, Alfred Yawson |
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| Rok vydání: | 2020 |
| Předmět: |
Aging
World Health Organization Logistic regression Ghana 03 medical and health sciences 0302 clinical medicine Risk Factors Prevalence Humans Medicine Adult health Depression (differential diagnoses) Aged Descriptive statistics Depression business.industry 030227 psychiatry Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Blood pressure Ageing Hypertension Marital status Residence business 030217 neurology & neurosurgery Demography |
| Zdroj: | Journal of Affective Disorders. 277:329-336 |
| ISSN: | 0165-0327 |
| DOI: | 10.1016/j.jad.2020.08.033 |
| Popis: | Background Depression and hypertension interact through a complex interplay of social, behavioral and biological factors. Despite the huge burden of hypertension in the African sub-region, very little information exists on depression among hypertensive patients. This study assessed the prevalence and factors associated with depression among young and older adult hypertensive patients in Ghana. Method Data from the World Health Organization Study on Global AGEing and Adult Health wave 2 (2014/2015) for Ghana was used. Depression was estimated among participants with blood pressure 140/90mmHg and above. Weighted descriptive statistics and logistic regression with adjusted predictions were carried out. The analysis was performed using Stata 15. Result The overall prevalence of depression was 6.3%. Older hypertensive patients had almost twice the prevalence of depression compared with younger patients (8.4% vs 4.5%). The factors which predicted depression among hypertensive patients were educational level, marital status, religion, region of residence, work status, self-rated health (SRH), and unhealthy lifestyle. Participants with no religion were more than 7 times likely to be depressed compared with Christians [aOR(95%CI)=7.52(2.11-26.8)]. Those in the Volta region were more than 8 times likely to be depressed compared to those in the Greater Accra region [aOR(95%CI)=8.58(2.51-29.3)]. Conclusion Older adult hypertensive patients were more likely to experience depressive symptoms. Multiple factors predicted depression in both young and old hypertensive patients; thus a comprehensive care package including psychological support for patients with hypertension is essential for optimum clinical management. |
| Databáze: | OpenAIRE |
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