Dataset Information

Depressive symptoms and cardiovascular disease: a population-based study of older adults in rural Burkina Faso.

ABSTRACT:

Objectives

To contribute to the current understanding of depressive disorders in sub-Saharan African (SSA) countries by examining the association of depressive symptoms with cardiovascular and cardiometabolic conditions in a population-based study of middle-aged and older adults in rural Burkina Faso.

Setting

This study was conducted in the Nouna Health and Demographic Surveillance System in north-western Burkina Faso, in a mixed rural and small-town environment. The data were obtained between May and July 2018.

Participants

Consenting adults over 40 years of age (n=3026).

Primary and secondary outcome measures

Depressive symptoms were assessed using the Patient Health Questionnaire depression module (PHQ-9). Chronic cardiometabolic conditions were assessed via a lipid panel and glycated haemoglobin measures from serum, alongside anthropometry and blood pressure measurements and a self-reported questionnaire. Multivariable linear regression was used to test the relationship between depressive symptoms and cardiovascular/cardiometabolic conditions after controlling for sociodemographic factors.

Results

Depressive symptoms were not associated with the metabolic syndrome (standardised beta coefficient=0.00 (95% CI -0.04 to 0.03)), hypertension (beta=0.01 (95% CI -0.02 to 0.05)), diabetes mellitus (beta=0.00 (95% CI -0.04 to 0.04)) and past diagnosis of elevated blood pressure or blood sugar. Prior stroke diagnosis (beta=0.04 (95% CI 0.01 to 0.07)) or heart disease (beta=0.08 (95% CI 0.05 to 0.11)) was positively associated with the standardised PHQ-9 score as were self-reported stroke symptoms.

Conclusion

Objectively measured cardiometabolic conditions had no significant association with depressive symptoms in an older, poor, rural SSA population, in contrast to observations in high income countries. However, consequences of cardiovascular disease such as stroke and heart attack were associated with depressive symptoms in older adults in Burkina Faso.

SUBMITTER: Brinkmann B

PROVIDER: S-EPMC7757460 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Depressive symptoms and cardiovascular disease: a population-based study of older adults in rural Burkina Faso.

Brinkmann Ben B Payne Collin F CF Kohler Iliana I Harling Guy G Davies Justine J Witham Miles M Siedner Mark J MJ Sie Ali A Bountogo Mamadou M Ouermi Lucienne L Coulibaly Boubacar B Bärnighausen Till T

BMJ open 20201222 12

<h4>Objectives</h4>To contribute to the current understanding of depressive disorders in sub-Saharan African (SSA) countries by examining the association of depressive symptoms with cardiovascular and cardiometabolic conditions in a population-based study of middle-aged and older adults in rural Burkina Faso.<h4>Setting</h4>This study was conducted in the Nouna Health and Demographic Surveillance System in north-western Burkina Faso, in a mixed rural and small-town environment. The data were obt ...[more]

PMID: 33371016

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Dataset Information

Depressive symptoms and cardiovascular disease: a population-based study of older adults in rural Burkina Faso.

Objectives

Setting

Participants

Primary and secondary outcome measures

Results

Conclusion

Publications

Depressive symptoms and cardiovascular disease: a population-based study of older adults in rural Burkina Faso.

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