Prevalence of undiagnosed depression among patients with hypertension: A cross-sectional study of Malaysian primary care perspective.

Pub Date : 2023-02-22 eCollection Date: 2023-01-01 DOI:10.51866/oa.2l4

Siaw Mei Choong, Ping Yein Lee, Aneesa Abdul Rashid

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Abstract

Introduction: This study aimed to determine the prevalence of suspected depression and its associated factors among patients with hypertension in a Malaysian primary care clinic.

Method: This cross-sectional study was conducted in a primary care clinic from 1 June to 31 August 2019 using the Patient Health Questionnaire-9.

Results: The prevalence of suspected depression was 9.0%. The significant predictors of depression were Indian ethnicity (adjusted odd ratio [AOR]: 2.373; confidence interval [CI]: 1.147-4.907), divorce (AOR: 3.5; CI: 1.243-9.860), singleness (AOR: 2.241; CI: 1.182-4.251), heavy episodic drinking (AOR: 7.343; CI: 2.494-21.624), low physical activity level (AOR: 1.921; CI: 1.0932.274), low fibre intake (AOR: 1.836; CI: 1.061-3.178), uncontrolled blood pressure (AOR: 1.800; CI: 1.134-2.858) and presence of hypertension complications (AOR: 3.263; CI: 2.053-5.185).

Conclusion: Primary health care providers must screen for depression among patients with hypertension, particularly those within high-risk groups, and implement interventions that address modifiable risk factors.

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高血压患者中未确诊抑郁症的患病率：马来西亚初级保健视角的横断面研究。

引言：本研究旨在确定马来西亚初级保健诊所高血压患者中疑似抑郁症的患病率及其相关因素。方法：这项横断面研究于2019年6月1日至8月31日在一家初级保健诊所使用患者健康问卷-9进行。结果：疑似抑郁症的患病率为9.0%。抑郁症的显著预测因素是印度裔（调整后的奇数比[AOR]：2.373；置信区间[CI]：1.147-4.907）、离婚（AOR:3.5，单身（AOR:2.241；CI：1.182-4.251）、重度偶发性饮酒（AOR:7.343；CI：2.494-21.624）、低体力活动水平（AOR:1.921；CI：1.0932.274）、低纤维摄入（AOR=1.836；CI：1.051-3.178），血压失控（AOR:1.800；CI:1.134-2.858）和是否存在高血压并发症（AOR:3.263；CI:2.053-5.185）。结论：初级卫生保健提供者必须筛查高血压患者，特别是高危人群中的抑郁症，并实施干预措施，解决可改变的风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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