Depression and its associated factors among adult hypertensive patients attending follow-up in South Gondar zone public hospitals, Ethiopia, 2023

BMC Psychiatry. 2024 May 14;24(1):360. doi: 10.1186/s12888-024-05807-y.

Abstract

Introduction: Depression is the most common public health issue affecting the world's population. Like patients with other chronic medical diseases, hypertensive patients experience many intense emotions which increase their risk for the development of depression. This study aimed to assess the magnitude of depression and its associated factors among hypertensive patients in South Gondar zone governmental hospitals, Northwest Ethiopia, 2023.

Methods: An institutional-based cross-sectional study was used in government hospitals of South Gondar Zone. A total of 311 patients were sampled randomly and included in the study. Statistical Package for Social Sciences (SPSS) version 25 was used for analysis. Data were analyzed mainly by using descriptive statistics and binary logistics regression.

Results: A total of 311 patients participated with a 100% response rate. Almost half of the participants were female. The mean age of the respondents was 58.85 years. More than 60% of the respondents had a co-morbid illness. Among participants, 83 (26.7%) of hypertensive patients had depression. Being female, age, uneducated, having poor social support, the presence of co-morbid illness and complications, uncontrolled hypertension, having less than or equal to two dietary regimen and duration of hypertension greater than ten years were significantly associated with depression.

Conclusion: The magnitude of depression was found to be high. This indicated that depression is a common co-morbid illness among hypertensive patients. Healthcare professionals and other stakeholders should consider and diagnose co-morbid diseases like depression among hypertensive patients. It is also better to give particular emphasis to highly vulnerable groups like females, elders, uneducated and those who have poor social support.

Keywords: Depression; Ethiopia; Hypertension; Magnitude.

MeSH terms

  • Adult
  • Aged
  • Comorbidity
  • Cross-Sectional Studies
  • Depression* / epidemiology
  • Ethiopia / epidemiology
  • Female
  • Follow-Up Studies
  • Hospitals, Public* / statistics & numerical data
  • Humans
  • Hypertension* / epidemiology
  • Male
  • Middle Aged
  • Risk Factors
  • Social Support