Department of Public Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Intern Emerg Med. 2021 Oct;16(7):1895-1903. doi: 10.1007/s11739-021-02717-9. Epub 2021 Apr 3.
Individuals belonging to ethnic minority groups are more susceptible to depression and comorbid hypertension than European host populations. Yet, data on how depression is related to hypertension in ethnic groups in Europe are lacking. Therefore, we studied the association between significant depressed mood (SDM) and hypertension prevalence, awareness, treatment, and control among ethnic groups. Data from the HELIUS study included 22,165 adults (aged 18-70) from six ethnic backgrounds in the Netherlands. Logistic regression analysis was used to explore the association between SDM and hypertension prevalence, awareness, treatment, and control with adjustment for age, sex, and for sensitivity analysis purposes also for anti-depressants. After adjustment for age and sex, Dutch with SDM had an increased odds of hypertension (OR 95% CI 1.67; 1.08-2.59). Among Turkish, SDM was associated with higher odds of hypertension awareness (2.09; 1.41-3.09), treatment (1.92; 1.27-2.90) and control (1.72; 1.04-2.83). Among Moroccans, SMD was associated with an increased odds of hypertension awareness (1.91; 1.14-3.21) but decreased odds of hypertension control (0.42; 0.20-0.89). Additional adjustment for anti-depressant medications did not change the results. There were no associations between SDM and hypertension, awareness, treatment and control in South-Asian Surinamese, African Surinamese and Ghanaian participants. The results underline significant differences in the association between SDM and hypertension awareness, treatment and control between ethnic groups. Our findings emphasize the necessity to further study ethnicity-related factors that may influence the association between SDM and hypertension to promote hypertension control especially, among Moroccans with SDM.
少数民族个体比欧洲宿主人群更容易患抑郁症和并发高血压。然而，关于抑郁症与欧洲少数民族群体中高血压的关系的数据尚缺乏。因此，我们研究了显著抑郁情绪（SDM）与不同族裔人群高血压患病率、知晓率、治疗率和控制率之间的关系。HELIUS 研究的数据来自荷兰六个族裔背景的 22165 名 18-70 岁成年人。采用逻辑回归分析来探讨 SDM 与高血压患病率、知晓率、治疗率和控制率之间的关联，调整因素包括年龄、性别，敏感性分析中还包括抗抑郁药物。在调整年龄和性别后，患有 SDM 的荷兰人高血压患病的几率更高（OR 95%CI 1.67；1.08-2.59）。在土耳其裔人群中，SDM 与高血压知晓率（2.09；1.41-3.09）、治疗率（1.92；1.27-2.90）和控制率（1.72；1.04-2.83）较高的几率相关。在摩洛哥裔人群中，SDM 与高血压知晓率（1.91；1.14-3.21）的几率增加相关，但与高血压控制率（0.42；0.20-0.89）降低的几率相关。进一步调整抗抑郁药物后，结果没有变化。在南亚苏里南人、非洲苏里南人和加纳人参与者中，SDM 与高血压、知晓率、治疗率和控制率之间没有关联。这些结果强调了 SDM 与高血压知晓率、治疗率和控制率之间的关联在不同族裔群体之间存在显著差异。我们的研究结果强调了进一步研究可能影响 SDM 与高血压之间关联的与种族相关因素的必要性，以特别促进摩洛哥裔 SDM 人群的高血压控制。
