| Titre : | The mental health impact of cardiometabolic disease and role of daignosis status: a comparative analysis of a 10-years depression incidence rate in diagnosed and undiagnosed hypertension/diabetes in rural India |
| Auteurs : | Mariana Gonzales Utrilla ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2023 |
| Description : | 33p. |
| Langues: | Anglais |
| Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
| Mots-clés : | Appareil cardiovasculaire ; Appareil circulatoire [pathologie] ; Impact ; Etat dépressif ; Diagnostic ; Facteur psychosocial ; Bien être ; Santé mentale ; Diagnostic précoce ; Inde |
| Résumé : |
Background: Understanding the impact of cardiometabolic diseases and diagnosis status on mental health in rural India is crucial for estimating the burden of such conditions. This research will explore the relationship between cardiometabolic diseases on whether the risk of developing depression is affected by diagnosis status. We hypothesise that people with the diagnosed cardiometabolic disease have a higher incidence of depression compared to those with the disease based on screening or without either condition.
Methods: We analysed data on 3233 participants from Andhra Pradesh Children and Parents Study, a prospective inter-generational ongoing cohort research, from the 3rd (2012-12) and 4th follow-up (2020-22) waves. The incidence risk of depression in different diagnosis status groups was calculated. Logistic regression analysis examined the association between diagnosis status and the risk of developing depression while controlling for potential confounders. Results: The incidence risk of all participants with depression was 13.07%. Individuals who screened positive for cardiometabolic disease but did not report a previous diagnosis had a lower risk, 10.13%. Participants who were classified as undiagnosed in the diagnosis status of cardiometabolic disease had a 31% (OR: 0.69 95% CI: 0.50, 0.94) lower odds of having depression compared to those who had no previous diagnosis and did not screen positive after adjusting for all aforementioned covariates and also behavioural one, including smoke and alcohol consumption, sleeping habits and dietary habits (food and vegetables daily intake). Although no strong evidence of an association between previous diagnosis status and the odds of depression (OR: 1.17 95% CI: 0.80, 1.67). Conclusion: The results suggest that there might be some psychological impact that comes with receiving a diagnosis of cardiometabolic disease and depression. Thus, a holistic healthcare strategy is needed to prioritise the physical and mental well-being of individuals affected by these conditions. Further research is required in order to explore the underlying mechanisms linking disease diagnosis and depression and evaluate the effectiveness of interventions aimed at improving mental health outcomes in this population. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/mariana_gonzales_utrilla.pdf |
Exemplaires (1)
| Code-barres | Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|---|
| 096517 | MPH23/0003 | Mémoire | Rennes | Salle Ouessant | Empruntable Disponible |