IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i15-16p2933-2941.html
   My bibliography  Save this article

The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension

Author

Listed:
  • Chunhua Ma

Abstract

Aims and objectives To estimate the prevalence of depressive symptoms in older people with hypertension in rural areas of China and to clarify the predictors influencing depressive symptoms in these patients. Background Although many studies have described the prevalence of depressive symptoms in older people, these studies mainly focused on those in urban areas. Few studies explicitly clarify the depressive symptoms of older patients with hypertension in rural China. Design A cross‐sectional design was adopted for the study. Methods A convenience sampling method was used to recruit the participants. The data were collected by questionnaire survey from the medical outpatient department of five rural township hospitals in Jinzhong City of Shanxi Province, northern China. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression Scale‐D, social support by the Social Support Rating Scale and activities of daily living by the Barthel Index. Results Nine hundred forty‐two rural older people with hypertension participated in the study. Of those, 560 patients (59.4%) had no depressive symptoms and 382 (40.6%) had depressive symptoms. The total mean scores of Center for Epidemiologic Studies Depression Scale‐D for the normal group were 8.45 ± 6.47, and 14.18 ± 5.91 for the group with depressive symptoms; the statistical difference was observed by comparing the mean scores of Center for Epidemiologic Studies Depression Scale‐D between the two groups (t = 2.18, p = .027). The binary logistic regression showed that the presence of depressive symptoms for older rural participants with hypertension was associated with the following factors: female (odds ratio [OR] = 1.19, 95% CI 1.10–1.37), unmarried status (OR = 1.36, 95% CI 1.19–1.65), low household income (OR = 0.80, 95% CI 0.74–0.93), living alone (OR = 1.76, 95% CI 1.45–1.90), the presence of hypertension complications and comorbid chronic diseases (OR = 0.63, 95% CI 0.42–0.74; OR = 0.55, 95% CI 0.41–0.69), dependent activities of daily living status (OR = 1.47, 95% CI 1.36–1.64) and low social support (OR = 1.66, 95% CI 1.57–1.89). Conclusions Depressive symptoms are common among older people with hypertension in rural China. The older patients with hypertension who are liable to have depressive symptoms warrant close attention from medical institutions and governments. Relevance to clinical practice The study explores the potential factors related to depressive symptoms, understanding of which can contribute to the development of effective measures to ameliorate depressive symptoms and improve the healthcare outcomes for rural older people with hypertension.

Suggested Citation

  • Chunhua Ma, 2018. "The prevalence of depressive symptoms and associated factors in countryside‐dwelling older Chinese patients with hypertension," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 2933-2941, August.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:15-16:p:2933-2941
    DOI: 10.1111/jocn.14349
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14349
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14349?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Chen, Yuyu & Jin, Ginger Zhe, 2012. "Does health insurance coverage lead to better health and educational outcomes? Evidence from rural China," Journal of Health Economics, Elsevier, vol. 31(1), pages 1-14.
    2. Siv Grav & Ove Hellzèn & Ulla Romild & Eystein Stordal, 2012. "Association between social support and depression in the general population: the HUNT study, a cross‐sectional survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(1‐2), pages 111-120, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. M Thomas Kishore & Veena Satyanarayana & Supraja Thirumalai Ananthanpillai & Geetha Desai & Binukumar Bhaskarapillai & Harish Thippeswamy & Prabha S Chandra, 2018. "Life events and depressive symptoms among pregnant women in India: Moderating role of resilience and social support," International Journal of Social Psychiatry, , vol. 64(6), pages 570-577, September.
    2. Cui, Ying & Liu, Hong & Zhao, Liqiu, 2019. "Mother's education and child development: Evidence from the compulsory school reform in China," Journal of Comparative Economics, Elsevier, vol. 47(3), pages 669-692.
    3. Liu, Kai, 2016. "Insuring against health shocks: Health insurance and household choices," Journal of Health Economics, Elsevier, vol. 46(C), pages 16-32.
    4. Ingrid Djukanović & Jörg Carlsson & Ulla Peterson, 2016. "Group discussions with structured reminiscence and a problem‐based method as an intervention to prevent depressive symptoms in older people," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(7-8), pages 992-1000, April.
    5. Kondo, Ayako & Shigeoka, Hitoshi, 2013. "Effects of universal health insurance on health care utilization, and supply-side responses: Evidence from Japan," Journal of Public Economics, Elsevier, vol. 99(C), pages 1-23.
    6. Liu, Xiao & Burge, Gregory S., 2024. "The effect of the new cooperative medical scheme on rural labor supply in China," China Economic Review, Elsevier, vol. 85(C).
    7. Anaka Aiyar & Naveen Sunder, 2024. "Health insurance and child mortality: Evidence from India," Health Economics, John Wiley & Sons, Ltd., vol. 33(5), pages 870-893, May.
    8. Jessica Ya Sun, 2020. "Welfare consequences of access to health insurance for rural households: Evidence from the New Cooperative Medical Scheme in China," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 337-352, March.
    9. Jinjing Wu & Shelby Deaton & Boshen Jiao & Zohn Rosen & Peter A Muennig, 2018. "The cost-effectiveness analysis of the New Rural Cooperative Medical Scheme in China," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.
    10. Chou, Shin-Yi & Grossman, Michael & Liu, Jin-Tan, 2014. "The impact of National Health Insurance on birth outcomes: A natural experiment in Taiwan," Journal of Development Economics, Elsevier, vol. 111(C), pages 75-91.
    11. Xiao, Yun & Li, Li & Zhao, Liqiu, 2017. "Education on the cheap: The long-run effects of a free compulsory education reform in rural china," Journal of Comparative Economics, Elsevier, vol. 45(3), pages 544-562.
    12. Ning Neil Yu & Xi Zhu, 2018. "Affordable care encourages healthy living: Theory and evidence from China's new cooperative medical scheme," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 2051-2066, December.
    13. Cheung, Diana & Padieu, Ysaline, 2011. "Impact of Health Insurance on Consumption and Saving Behaviours: Evidence from Rural China," Proceedings of the German Development Economics Conference, Berlin 2011 18, Verein für Socialpolitik, Research Committee Development Economics.
    14. Palmer, Michael & Mitra, Sophie & Mont, Daniel & Groce, Nora, 2015. "The impact of health insurance for children under age 6 in Vietnam: A regression discontinuity approach," Social Science & Medicine, Elsevier, vol. 145(C), pages 217-226.
    15. He, Huajing & Nolen, Patrick J., 2019. "The effect of health insurance reform: Evidence from China," China Economic Review, Elsevier, vol. 53(C), pages 168-179.
    16. Huang, Wei & Liu, Hong, 2023. "Early childhood exposure to health insurance and adolescent outcomes: Evidence from rural China," Journal of Development Economics, Elsevier, vol. 160(C).
    17. Ke Jiang & Daming You & Zhendong Li & Wei Wei & Mitchell Mainstone, 2018. "Effects of Rural Medical Insurance on Chronically Ill Patients’ Choice of the Same Hospital Again in Rural Northern China," IJERPH, MDPI, vol. 15(4), pages 1-10, April.
    18. Li, Xue & Smyth, Russell & Yao, Yao, 2023. "Extreme temperatures and out-of-pocket medical expenditure: Evidence from China," China Economic Review, Elsevier, vol. 77(C).
    19. Ikenwilo, Divine, 2013. "A difference-in-differences analysis of the effect of free dental check-ups in Scotland," Social Science & Medicine, Elsevier, vol. 83(C), pages 10-18.
    20. Can Tang & Liqiu Zhao & Zhong Zhao, 2019. "Free Education Helps Combat Child Labor? The Effect of a Free Compulsory Education Reform in Rural China," Working Papers 2019-036, Human Capital and Economic Opportunity Working Group.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:15-16:p:2933-2941. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.