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Mental distress along the cascade of care in managing hypertension

Research output: Contribution to journalArticlepeer-review

Chiew Way Ang, Min Min Tan, Till Bärnighausen, Ulrich Reininghaus, Daniel Reidpath, Tin Tin Su

Original languageEnglish
Article number15910
JournalScientific Reports
Issue number1
PublishedDec 2022

Bibliographical note

Funding Information: South East Asia Community Observatory (SEACO) is funded by Monash University (Clayton and Malaysia Campus), JC School of Medicine and Health Sciences. This study is partly funded by Monash University Malaysia-ASEAN Grant (ASE-000011). Open access page charges is supported by the JC School of Medicine and Health Sciences. The corresponding author had full access to all the data in the study and had final responsibility for the decision to submit for publication. Publisher Copyright: © 2022, The Author(s).

King's Authors


Hypertension might be a contributing factor of mental illness. The aim of this study was to investigate the association between different levels of hypertension care and mental distress among hypertensive individuals in Malaysia. We constructed a hypertension care cascade using data of 6531 hypertensive individuals aged ≥ 35 years that were collected as part of the community health survey conducted in 2013 in the South East Asia Community Observatory. We examined the association between the status of hypertension care and mental distress using multiple logistic regressions. Respondents who had not been screened for hypertension and those who had uncontrolled blood pressure (BP) had higher odds of depression, anxiety and, stress compared to those who had been screened and those who had controlled BP, respectively. Respondents who were not taking antihypertensive medication had lower odds of depression and anxiety compared to those who were on medication. There was an association between different levels of hypertension care and mental distress. The application of a hypertension care cascade may help improve the provision of mental health support in primary care clinics. Specific mental health interventions could be provided for patients with particular needs along the cascade.

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