The Prevalence and Influencing Factors of Anxiety and Depression in Elderly Patients with Hypertension
10.11969/j.issn.1673-548X.2025.07.023
- VernacularTitle:老年高血压患者焦虑抑郁现状及影响因素研究
- Author:
Ling WANG
1
;
Ling ZHANG
;
Maozhen FU
Author Information
1. 518118 深圳市坪山区疾病预防控制中心
- Publication Type:Journal Article
- Keywords:
Hypertension;
Anxiety;
Depression;
Influence factor
- From:
Journal of Medical Research
2025;54(7):129-134,163
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status and influencing factors of depression and anxiety in elderly patients with hy-pertension.Methods From March to July 2024,four regional community health service centers were randomly selected from the commu-nity health service centers under Pingshan District People's Hospital in Shenzhen as the research site.Cluster sampling was used to recruit elderly hypertensive patients in the community as the research subjects.A questionnaire survey and physical examination were conducted on the subjects,and Logistic regression was used to analyze the influencing factors of depression and anxiety in elderly hypertensive pa-tients.Results A total of 624 elderly patients with hypertension were included,including 281 males(45.03％)and 343 females(54.97％),with an average age of 68.44±6.62 years.The proportion of patients with depression and anxiety was 12.98％and 11.86％,respectively.The Logistic regression analysis showed that lack of spouse,obesity,with other chronic diseases,smoking and ab-normal total cholesterol were risk factors for depression,and OR values and 95％CI was 2.599(1.286-5.251),4.133(2.152-7.940),3.127(1.754-5.575),4.003(1.804-8.883),and 2.390(1.265-4.515),respectively.A high level of education and drinking tea more than three times a week monthly were protective factors for depression,with OR values and 95％CI was 0.382(0.205-0.711)and 0.261(0.123-0.554),respectively.Female,obesity,with other chronic diseases,drinking alcohol and abnormal total cholesterol were risk factors for anxiety,with OR values and 95％CI was 3.329(1.675-6.615),3.314(1.645-6.677),4.238(2.381-7.542),4.101(1.763-9.542)and 2.709(1.467-5.001),respectively.High monthly household income was a protective factor for anxiety,with OR values and 95％CI was 0.382(0.210-0.694)and 0.341(0.152-0.768)for monthly household income of 8000-20000(not including)yuan and ≥20000 yuan,respectively.Conclusion The influencing factors of depression in elderly hyper-tensive patients include marital status,BMI classification,with other chronic diseases,educational level,tea consumption,smoking and dyslipidemia.The influencing factors of anxiety include dyslipidemia,gender,with other chronic diseases,monthly family income,BMI classification and drinking alcohol.Effective intervention measures should be taken for patients with dyslipidemia,lack of spouse,smok-ing,alcohol consumption,combined with other chronic diseases,low educational level,low family income,obesity,and female patients.
