Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia

Pre-hypertension increased the risk of morbidity and mortality from non-communicable diseases. Whereas, psychological factors such as depression, anxiety and stress have been associated with increased in blood pressure. However, previous studies more focuses on psychological determinants of hyperten...

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Main Authors: A. D., Balami, Md Said, Salmiah, Mohd Zulkefli, Nor Afiah
Format: Article
Published: Malaysian Public Health Physicians’ Association 2014
Online Access:http://psasir.upm.edu.my/id/eprint/35104/
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author A. D., Balami
Md Said, Salmiah
Mohd Zulkefli, Nor Afiah
author_facet A. D., Balami
Md Said, Salmiah
Mohd Zulkefli, Nor Afiah
author_sort A. D., Balami
building UPM Institutional Repository
collection Online Access
description Pre-hypertension increased the risk of morbidity and mortality from non-communicable diseases. Whereas, psychological factors such as depression, anxiety and stress have been associated with increased in blood pressure. However, previous studies more focuses on psychological determinants of hypertension than prehypertension. Thus, this study aims to determine the association between these psychological factors with pre-hypertension. A cross-sectional study was conducted in 2012 among first year students of a public Malaysian university. A random cluster sampling was used to select 5 out of 15 faculties and a total of 495 students participated in this study. The Malay version of DASS-21 was used to elicit their levels of depression, anxiety and stress. Blood pressures were measured twice using sphygmomanometer and the averages were taken. Data analyses used chi-square test and binary multiple logistic regression. The prevalence of pre-hypertension was 30.1%. The percentage of severe and extremely severe depression was 3.8% and 1.2%; both severe and extremely severe anxiety was 16.4%; and severe and extremely severe stress was 4.2% and 0.2% respectively. Severe/extremely severe depression had more than 3 times higher in getting pre-hypertension than no depression. In conclusions, almost one third of respondents had pre-hypertension and only severe/extremely depression was associated with pre-hypertension.
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spelling upm-351042015-12-30T10:47:26Z http://psasir.upm.edu.my/id/eprint/35104/ Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia A. D., Balami Md Said, Salmiah Mohd Zulkefli, Nor Afiah Pre-hypertension increased the risk of morbidity and mortality from non-communicable diseases. Whereas, psychological factors such as depression, anxiety and stress have been associated with increased in blood pressure. However, previous studies more focuses on psychological determinants of hypertension than prehypertension. Thus, this study aims to determine the association between these psychological factors with pre-hypertension. A cross-sectional study was conducted in 2012 among first year students of a public Malaysian university. A random cluster sampling was used to select 5 out of 15 faculties and a total of 495 students participated in this study. The Malay version of DASS-21 was used to elicit their levels of depression, anxiety and stress. Blood pressures were measured twice using sphygmomanometer and the averages were taken. Data analyses used chi-square test and binary multiple logistic regression. The prevalence of pre-hypertension was 30.1%. The percentage of severe and extremely severe depression was 3.8% and 1.2%; both severe and extremely severe anxiety was 16.4%; and severe and extremely severe stress was 4.2% and 0.2% respectively. Severe/extremely severe depression had more than 3 times higher in getting pre-hypertension than no depression. In conclusions, almost one third of respondents had pre-hypertension and only severe/extremely depression was associated with pre-hypertension. Malaysian Public Health Physicians’ Association 2014 Article PeerReviewed A. D., Balami and Md Said, Salmiah and Mohd Zulkefli, Nor Afiah (2014) Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia. Malaysian Journal of Public Health Medicine, 14 (2). pp. 67-76. ISSN 1675-0306 http://www.mjphm.org.my/mjphm/index.php?option=com_content&view=article&id=608:psychological-determinants-of-pre-hypertension-among-first-year-undergraduate-students-in-a-public-university-in-malaysia&catid=98:2014-volume-14-2&Itemid=113
spellingShingle A. D., Balami
Md Said, Salmiah
Mohd Zulkefli, Nor Afiah
Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title_full Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title_fullStr Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title_full_unstemmed Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title_short Psychological determinants of pre-hypertension among first year undergraduate students in a public university in Malaysia
title_sort psychological determinants of pre-hypertension among first year undergraduate students in a public university in malaysia
url http://psasir.upm.edu.my/id/eprint/35104/
http://psasir.upm.edu.my/id/eprint/35104/