Background: Coronary Heart Disease (CHD) & depression problems are increasing concerns globally as cardiovascular diseases (CVD) solely account for almost one-half of NCD deaths. Similarly, 280 million people i.e., 3.4% of the world population are suffering from depression. There is a direct association between CHD and depression as studies show that up to one in five people with CHD may experience depression. Coronary artery disease (CAD) is the most common type of CHD in the United States. There have been studies examining the association between these, but none in Tennessee. This study aims to investigate the association between CHD and depression.
Methods: We used cross-sectional data from the 2021 Behavioral Risk Factor Surveillance System a nationally representative U.S. telephone-based survey of adults aged 18 years and extracted data for Tennessee (n=4,788). Logistic regression analyses were conducted to test the association between coronary artery disease and depression. We controlled for the past month's income, race/ethnicity, educational status, gender, and age.
Results: Overall, 25.5% (n=1,209) reported having been diagnosed with depression, while 6.0% (n=289) reported coronary artery disease. Coronary artery disease predicted higher odds of depression (OR=1.86, 95% CI, 1.44, 2.41) along with low income (OR=2.14, 95% CI, 1.85, 2.48) and female gender (OR=1.94, 95% CI, 1.69, 2.23).
Conclusion: High prevalence of depression is one of the major health challenges in Tennessee. Similarly, the prevalence of coronary artery disease was also prominent. We found a significant association with higher odds of depression among patients with coronary artery disease. Along with this, low income and female gender were also associated with depression. To address patients with depression, targeted efforts and disease management are needed among patients with CHD. More research focusing on the other associated variables is to be studied.
Keywords: Coronary Heart Disease, Depression, Health disparities in Tennessee
| Identifer | oai:union.ndltd.org:ETSU/oai:dc.etsu.edu:asrf-2193 |
| Date | 25 April 2023 |
| Creators | Ghimire, Achala, Ahuja, Manik |
| Publisher | Digital Commons @ East Tennessee State University |
| Source Sets | East Tennessee State University |
| Detected Language | English |
| Type | text |
| Source | Appalachian Student Research Forum |
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