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dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.contributor.authorAng, Chiew Way
dc.contributor.authorTan, Min Min
dc.contributor.authorBärnighausen, Till
dc.contributor.authorReininghaus, Ulrich
dc.contributor.authorReidpath, Daniel
dc.contributor.authorSu, Tin Tin
dc.identifierpubmed: 36151113
dc.identifierdoi: 10.1038/s41598-022-20020-1
dc.identifierpii: 10.1038/s41598-022-20020-1
dc.identifierpmc: PMC9508187
dc.identifier.citationAng, C.W., Tan, M.M., Bärnighausen, T., Reininghaus, U., Reidpath, D. and Su, T.T. (2022) ‘Mental distress along the cascade of care in managing hypertension’, Scientific Reports, 12(1), p. 15910. Available at:
dc.descriptionFrom PubMed via Jisc Publications Router
dc.descriptionHistory: received 2022-02-01, accepted 2022-09-07
dc.descriptionPublication status: epublish
dc.descriptionDaniel Reidpath - ORCID: 0000-0002-8796-0420
dc.descriptionVoR deposited on 22-12-23
dc.description.abstractHypertension 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. [Abstract copyright: © 2022. The Author(s).]
dc.rightsOpen Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
dc.sourceeissn: 2045-2322
dc.subjectHypertension - drug therapy - therapy
dc.subjectMental Disorders - drug therapy
dc.subjectSurveys and Questionnaires
dc.subjectBlood Pressure
dc.subjectAntihypertensive Agents - pharmacology - therapeutic use
dc.titleMental distress along the cascade of care in managing hypertension.
qmu.authorReidpath, Daniel
qmu.centreInstitute for Global Health and Development

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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)