Title: Prevalence and associated factors of depression and anxiety among people at high risk of stroke in China: A cross-sectional study
Abstract:
Background: Few data have reported the prevalence of depressive and anxiety symptoms in people at high risk of stroke in China. This study aimed to estimate the prevalence and associated factors of these mental health symptoms.
Method: A cross-sectional study was conducted on 596 people at high risk of stroke from five community health service centers in Zhengzhou, China. The nine-item Patient Health Questionnaire 9 (PHQ-9) was used to evaluate depression symptoms, and the seven-item Generalized Anxiety Disorder 7 (GAD-7) was used to measure anxiety symptoms. T-tests and one-way ANOVA were used to explore factors, including socio-demographic and individual psychological factors influencing anxiety and depression disorder. According to the above results of exploring the influencing factors based on uni-variate analysis, significant factors (P < 0.05) were entered into multiple linear regressions that sequentially fitted to predictors associated with anxiety and depression. The collected data were analyzed using SPSS 26.0 and P < 0.05 was considered to be significantly different.
Results: The prevalence of reported depressive symptoms, anxiety symptoms, and depression combined with anxiety symptoms was 26.8%, 27.7%, and 20.1%, respectively. Of the respondents, the prevalence of moderate to severe depression, and anxiety was 8.0% and 8.1%, respectively. Binary logistic regression analysis demonstrated that monthly income, self-rated health status were negatively association with depressive symptoms, and the number of stroke risk factors, extent of concern about stroke occurrence were positively association with depressive symptoms (P < 0.05). For anxiety symptoms, logistic regression analysis demonstrated that age, monthly income and self-rated health status were negatively association with it, and extent of concern about stroke occurrence were positively association with it.
Conclusion: Our findings revealed that high prevalence of mental health problems among people at high risk of stroke in China. It is vital to establish hospital, community, and family psychological health screening systems based on relevant factors and enhance primary prevention of stroke.
Audience Take Away:
- This study presents the current status of depression and anxiety in Chinese people at high risk of stroke, which provides the audience with a reference for research in people at high risk of stroke.
- This study explored the association between socio-demographic profiles and anxiety and depression in people at high risk of stroke, and the audience may further explore the relationship between other relevant factors and anxiety and depression.
