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Mental distress along the cascade of care in managing hypertension

Chiew Way Ang1, Min Min Tan1, Till Bärnighausen2,3

  • 1South East Asia Community Observatory (SEACO) & Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Subang Jaya, Selangor, Malaysia.

Scientific Reports
|September 23, 2022
PubMed

Insights

Hypertension care levels impact mental distress in Malaysian adults. Poorly managed hypertension and lack of screening correlate with higher odds of depression, anxiety, and stress.

Area of Science:

  • Public Health
  • Epidemiology
  • Mental Health Research

Background:

  • Hypertension is a prevalent chronic condition with potential links to mental health issues.
  • Understanding the relationship between hypertension management and mental distress is crucial for holistic patient care.

Purpose of the Study:

  • To investigate the association between different stages of hypertension care and mental distress in a Malaysian population.
  • To identify specific points in the hypertension care cascade associated with increased risk of mental distress.

Main Methods:

  • Utilized data from 6531 hypertensive individuals (≥35 years) from a 2013 South East Asia Community Observatory survey.
  • Employed multiple logistic regression to analyze the association between hypertension care status and mental distress (depression, anxiety, stress).

Main Results:

  • Individuals without hypertension screening and those with uncontrolled blood pressure (BP) showed higher odds of depression, anxiety, and stress.
  • Conversely, individuals not taking antihypertensive medication had lower odds of depression and anxiety compared to those on medication.

Conclusions:

  • There is a significant association between the level of hypertension care and mental distress.
  • Implementing a hypertension care cascade can enhance mental health support in primary care.
  • Targeted mental health interventions are recommended for individuals at different stages of hypertension management.

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