Cross-sectional study of prevalence and association factors for hypertension comorbid depressive and anxiety disorders
10.3969/j.issn.1000-6729.2024.12.001
- VernacularTitle:高血压与抑郁障碍和焦虑障碍共患率及关联因素现况研究
- Author:
Yushu ZHANG
1
;
Limin WANG
;
Yueqin HUANG
;
Mei ZHANG
;
Zhenping ZHAO
;
Xiao ZHANG
;
Chun LI
;
Zhengjing HUANG
;
Zhaorui LIU
;
Tingting ZHANG
;
Xingxing GAO
;
Bo JIANG
Author Information
1. 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室,北京 100050
- Keywords:
hypertension;
depressive disorder;
anxiety disorder;
comorbidity;
association factors
- From:
Chinese Mental Health Journal
2024;38(12):1021-1027
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the prevalence and association factors of depressive and anxiety disorders in the hypertensive population.Methods:Using the database obtained from the 2013 China Chronic Disease and Risk Factor Surveillance and the 2013-2015 China Mental Health Survey,4 861 hypertensive residents were used as study subjects.And using the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ)as diagnostic criterion for depressive and anxiety disorders,the 12-month prevalence was calculated.Multifactorial lo-gistic regression models were used to explore the association factors of hypertension comorbid depressive and anxie-ty disorders.Results:The 12-month prevalence rates of depressive disorders and anxiety disorders were 4.1％and 5.0％in 4 861 hypertensive residents.Chinese Han[OR(95％CI):2.00(1.01-3.93)],lack of sleep[OR(95％CI):1.82(1.34-2.48)],having myocardial infarction[OR(95％CI):2.35(1.18～4.67)]and stroke in the past year[OR(95％CI):2.10(1.19-3.72)],and chronic obstructive pulmonary disease[OR(95％CI):2.11(1.11-4.05)]were risk factors of hypertension comorbid depressive disorder.Hypertensive people with controlled blood pressure[OR(95％CI):2.01(1.30-3.13)]had a higher risk of co-morbid depressive disorder than those with blood pressure above the normal range on this measurement.Chinese Han[OR(95％CI):2.51(1.32-4.80)],Southwest China[OR(95％CI):1.64(1.02-2.63)],and lack of sleep[OR(95％CI):1.45(1.09-1.93)]were risk factors of hypertension comorbid anxiety disorder.Former but current non-smoking[OR(95％CI):0.48(0.23-0.99)]was a protective factor of hypertension comorbid anxiety disorder.Conclusion:The 12-month prevalence of anxiety disorder was higher than that of depressive disorder in this hypertensive population.Both Han and sleep deprived hypertensive people had a higher risk of comorbid depressive and anxiety disorders.
