Abstract

PREVALENCE AND DETERMINANTS OF DEPRESSION AMONG ADULT HYPERTENSIVE PATIENTS IN BURAYDAH

Naif Sulaiman Almatrudi* and Abdullah M. Alsaigul

Abstract

Background: Both depression and hypertension exist from a complex interaction of biological, social, and behavioural factors. Objectives: To assess depression and its associated factors among hypertensive patients attending primary healthcare centers, Ministry of health in Buraydah city. Subjects and Methods: A cross-sectional study including a representative sample of adult hypertensive patients registered at primary healthcare centers in Burayadah has been conducted throughout the period August- September, 2019. The Arabic version of Patient health questionnaire-9 scale (PHQ-9) was utilized to assess for depression. In addition, demographic and hypertensionrelated characteristics were collected. Results: Two hundred and eighty hypertensive patients completed the study questionnaire, giving a response rate of 69.6%. Mean age of patients was 54.5 (+11.3). Males and females were almost equal. Overall, 46.1% of participants had uncontrolled Blood pressure (uncontrolled systolic or diastolic BP). The prevalence of depression was 37.1%, mainly mild (26.4) whereas moderately severe and severe forms were reported among 2.5% and 0.7% of patients, respectively. Depression was more frequent among unmarried, p=0.004; illiterate, p=0.006; and low-income participants, p=0.008 compared to their counterparts. Depression was not associated with BP control status but was significantly higher among those who had 2 or more antihypertensive drugs, 45% versus 24% for patients who take only one drug, p

Keywords: Age, hypertension, blood pressure, smoking, physical activity, PHQ-9, Buraydah.