A1 Refereed original research article in a scientific journal

Awareness of hypertension and depressive symptoms: a cross-sectional study in a primary care population




AuthorsRantanen A., Korkeila J., Löyttyniemi E., Saxén U., Korhonen P.

PublisherTaylor and Francis Ltd

Publication year2018

JournalScandinavian Journal of Primary Health Care

Journal name in sourceScandinavian Journal of Primary Health Care

Volume36

Issue3

First page 323

Last page328

Number of pages6

ISSN0281-3432

eISSN1502-7724

DOIhttps://doi.org/10.1080/02813432.2018.1499588

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/35843982


Abstract

Objective: To investigate the association of hypertension awareness and depressive symptoms, and to analyse factors predisposing aware hypertensives to depressive symptoms.

Design: Cross-sectional study in a primary care population.

Setting: Cardiovascular risk factor survey in two semi-rural towns in Finland.

Subjects: Two thousand six hundred seventy-six middle-aged risk persons without an established cardiovascular or renal disease or type 2 diabetes.

Main outcome measures: Depressive symptoms, previous and new diagnosis of hypertension.

Results: Hypertension was diagnosed in 47.9% of the subjects, of whom 34.5% (442/1 282) had previously undetected hypertension. Depressive symptoms were reported by 14% of the subjects previously aware of their hypertension, and by 9% of both unaware hypertensives and normotensive subjects. In the logistic regression analysis, both the normotensive (OR 0.62, 95% CI 0.45–0.86) (p = 0.0038) and the unaware hypertensive subjects (OR 0.54, 95% CI 0.35–0.84) (p = 0.0067) had lower risk for depressive symptoms than the previously diagnosed hypertensives. Among these aware hypertensives, female gender (OR 3.61, 95% CI 2.06–6.32), harmful alcohol use (OR 2.55, 95% CI 1.40–4.64) and obesity (OR 2.50, 95% CI 1.01–6.21) predicted depressive symptoms. Non-smoking (OR 0.57, 95% Cl 0.33–0.99) and moderate leisure-time physical activity compared to low (OR 0.53, 95% CI 0.33–0.84) seemed to buffer against depressive symptoms.

Conclusion: Depressive symptoms are common in hypertensive persons even without comorbidities, if the person is already aware of his/her hypertension. Many modifiable, lifestyle associated factors may contribute to the association of hypertension and depressive symptoms.


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Last updated on 2024-26-11 at 20:09