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韩晶, 殷晓梅, 徐斐, 洪忻, 梁亚琼, 王志勇. 高血压与抑郁关系病例对照研究[J]. 中国公共卫生, 2008, 24(3): 281-283. DOI: 10.11847/zgggws2008-24-03-12
引用本文: 韩晶, 殷晓梅, 徐斐, 洪忻, 梁亚琼, 王志勇. 高血压与抑郁关系病例对照研究[J]. 中国公共卫生, 2008, 24(3): 281-283. DOI: 10.11847/zgggws2008-24-03-12
HAN Jing, YIN Xiao-mei, XU Fei, . Association between depression and hypertension-a case-control study[J]. Chinese Journal of Public Health, 2008, 24(3): 281-283. DOI: 10.11847/zgggws2008-24-03-12
Citation: HAN Jing, YIN Xiao-mei, XU Fei, . Association between depression and hypertension-a case-control study[J]. Chinese Journal of Public Health, 2008, 24(3): 281-283. DOI: 10.11847/zgggws2008-24-03-12

高血压与抑郁关系病例对照研究

Association between depression and hypertension-a case-control study

  • 摘要: 目的探讨高血压与抑郁的关系,为制定有效的预防和干预措施提供依据。方法采用病例对照研究方法,抽取35岁以上高血压患者326人,健康对照414人,使用抑郁自评量表(SDS)评定调查对象抑郁状况。结果病例组与对照组的抑郁自评量表粗分(X)分别为35.76±7.13,33.30±8.65;标准分(Y)分别为44.81±8.94,41.74±10.80,差异均有统计学意义(P<0.01);病例组抑郁患病率(17.9%)显著高于对照组(11.5%);病例组和对照组中男性、≥60岁和白领人群的抑郁患病率差异有统计学意义,其OR值分别为2.051,1.901和1.712;且抑郁与焦虑对高血压存在交互作用。结论高血压与抑郁存在很强的相关性,抑郁是高血压的独立危险因素之一。

     

    Abstract: ObjectiveTo investigate the relationship between depression and hypertension.MethodsParticipants above age of 35 including both patients with hypertension and the healthy controls were randomly selected in 2 communities of Puk ou district in Nanjing by Health Behavior Survey.All the subjects were assessed by the Zung's self-rating depression scale (SDS).ResultsRaw score and index score were both significantly(P<0.01)greater in patients with hypertension than in the healthy.The prevalence of depression in patient group(17.9%)was found significantly higher compared to that in control group(11.5%).After adjusting for possible confounding factors,male,older than 60 years old,white-collar participants had higher odds of hypertension(OR=2.051,95% CI:1.026~4.012;OR=1.901,95% CI:1.068~3.383;OR=1.712, 95% CI:1.057~2.775),respectively.There was interaction between depression and anxiety.ConclusionDepression is positively associated with hypertension.

     

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