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Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study
INTRODUCTION: Extensive cross-sectional evidence has demonstrated an association between psychological distress (PD) and hypertension. However, evidence on the temporal relationship is limited, especially in low-income and middle-income countries. The role of health risk behaviours including smoking...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314626/ https://www.ncbi.nlm.nih.gov/pubmed/37385733 http://dx.doi.org/10.1136/openhrt-2023-002346 |
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author | Shamsuddin, Shehla Davis, Katherine Moorhouse, Louisa Mandizvidza, Phyllis Maswera, Rufurwokuda Dadirai, Tawanda Nyamukapa, Constance Gregson, Simon Chigogora, Sungano |
author_facet | Shamsuddin, Shehla Davis, Katherine Moorhouse, Louisa Mandizvidza, Phyllis Maswera, Rufurwokuda Dadirai, Tawanda Nyamukapa, Constance Gregson, Simon Chigogora, Sungano |
author_sort | Shamsuddin, Shehla |
collection | PubMed |
description | INTRODUCTION: Extensive cross-sectional evidence has demonstrated an association between psychological distress (PD) and hypertension. However, evidence on the temporal relationship is limited, especially in low-income and middle-income countries. The role of health risk behaviours including smoking and alcohol consumption in this relationship is also largely unknown. The aim of this study was to investigate the association between PD and later development of hypertension, and how this association may have been influenced by health risk behaviours, among adults in east Zimbabwe. METHODS: The analysis included 742 adults (aged 15–54 years) recruited by the Manicaland general population cohort study, who did not have hypertension at baseline in 2012–2013, and who were followed until 2018-2019. In 2012–2013, PD was measured using the Shona Symptom Questionnaire, a screening tool validated for use in Shona-speaking countries including Zimbabwe (cut-off point: 7). Smoking, alcohol consumption and use of drugs (health risk behaviours) were also self-reported. In 2018-2019, participants reported if they had diagnosed with hypertension by a doctor or nurse. Logistic regression was used to assess the association between PD and hypertension. RESULTS: In 2012, 10.4% of the participants had PD. The odds of new reports of hypertension were 2.04 times greater (95% CI 1.16 to 3.59) among those with PD at baseline, after adjusting for sociodemographic and health risk behaviour variables. Female gender (adjusted odds ratio, AOR 6.89, 95% CI 2.71 to 17.53), older age (AOR 2.67, 95% CI 1.63 to 4.42), and greater wealth (AOR 2.10, 95% CI 1.04 to 4.24 more wealthy, 2.88, 95% CI 1.24 to 6.67 most wealthy) were significant risk factors for hypertension. The AOR for the relationship between PD and hypertension did not differ substantially between models with and without health risk behaviours. CONCLUSION: PD was associated with an increased risk of later reports of hypertension in the Manicaland cohort. Integrating mental health and hypertension services within primary healthcare may reduce the dual burden of these non-communicable diseases. |
format | Online Article Text |
id | pubmed-10314626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103146262023-07-02 Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study Shamsuddin, Shehla Davis, Katherine Moorhouse, Louisa Mandizvidza, Phyllis Maswera, Rufurwokuda Dadirai, Tawanda Nyamukapa, Constance Gregson, Simon Chigogora, Sungano Open Heart Cardiac Risk Factors and Prevention INTRODUCTION: Extensive cross-sectional evidence has demonstrated an association between psychological distress (PD) and hypertension. However, evidence on the temporal relationship is limited, especially in low-income and middle-income countries. The role of health risk behaviours including smoking and alcohol consumption in this relationship is also largely unknown. The aim of this study was to investigate the association between PD and later development of hypertension, and how this association may have been influenced by health risk behaviours, among adults in east Zimbabwe. METHODS: The analysis included 742 adults (aged 15–54 years) recruited by the Manicaland general population cohort study, who did not have hypertension at baseline in 2012–2013, and who were followed until 2018-2019. In 2012–2013, PD was measured using the Shona Symptom Questionnaire, a screening tool validated for use in Shona-speaking countries including Zimbabwe (cut-off point: 7). Smoking, alcohol consumption and use of drugs (health risk behaviours) were also self-reported. In 2018-2019, participants reported if they had diagnosed with hypertension by a doctor or nurse. Logistic regression was used to assess the association between PD and hypertension. RESULTS: In 2012, 10.4% of the participants had PD. The odds of new reports of hypertension were 2.04 times greater (95% CI 1.16 to 3.59) among those with PD at baseline, after adjusting for sociodemographic and health risk behaviour variables. Female gender (adjusted odds ratio, AOR 6.89, 95% CI 2.71 to 17.53), older age (AOR 2.67, 95% CI 1.63 to 4.42), and greater wealth (AOR 2.10, 95% CI 1.04 to 4.24 more wealthy, 2.88, 95% CI 1.24 to 6.67 most wealthy) were significant risk factors for hypertension. The AOR for the relationship between PD and hypertension did not differ substantially between models with and without health risk behaviours. CONCLUSION: PD was associated with an increased risk of later reports of hypertension in the Manicaland cohort. Integrating mental health and hypertension services within primary healthcare may reduce the dual burden of these non-communicable diseases. BMJ Publishing Group 2023-06-29 /pmc/articles/PMC10314626/ /pubmed/37385733 http://dx.doi.org/10.1136/openhrt-2023-002346 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Cardiac Risk Factors and Prevention Shamsuddin, Shehla Davis, Katherine Moorhouse, Louisa Mandizvidza, Phyllis Maswera, Rufurwokuda Dadirai, Tawanda Nyamukapa, Constance Gregson, Simon Chigogora, Sungano Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title | Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title_full | Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title_fullStr | Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title_full_unstemmed | Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title_short | Relationship between psychological distress, health behaviours and future reports of hypertension among adults in East Zimbabwe: a cohort study |
title_sort | relationship between psychological distress, health behaviours and future reports of hypertension among adults in east zimbabwe: a cohort study |
topic | Cardiac Risk Factors and Prevention |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314626/ https://www.ncbi.nlm.nih.gov/pubmed/37385733 http://dx.doi.org/10.1136/openhrt-2023-002346 |
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