Document Type

Capstone Experience

Graduation Date

5-2024

Degree Name

Master of Public Health

Department

Epidemiology

First Committee Member

Dr Kendra Ratnapradipa, PhD, MSW

Second Committee Member

Dr Ariane Rung, PhD, MPH

Third Committee Member

Anthony Blake, MPH

Fourth Committee Member

Dr Ishrat Kamal-Ahmed, PhD, MSc

Abstract

Objectives: To examine the association of depression and coronary heart disease in U.S. adults.

Methods: This cross-sectional study uses the Behavioral Risk Factor Surveillance System (BRFSS), 2022 data for non-institutionalized U.S adults aged 18 and older. The exposure variable is depression, the outcome is coronary heart disease (CHD), and covariates are age, race, education, and physical activity. Performed univariate, bivariate, and multivariate analyses to assess the association between depression and CHD.

Results: The analytical sample size consisted of 427,217 individuals. A total of 88,841(20.7%) of the population reported having coronary heart disease, while 338,376(70.3%) reported having no coronary heart disease. A total of 25,442(4.4%) participants reported having depression (Table 1). Those with depression have 1.6 higher odds of having coronary heart disease than those without depression (95% CI = 1.49,1.71). Being Hispanic is associated with lower odds of having coronary heart disease compared to Whites (POR=0.47, 95%CI = 0.51,0.68). The odds of having CHD are 2.36 times higher for those with less than a high school education (95% CI= 1.87,2.98) and lowest among college graduates (Adjusted OR= 1.63, 95% CI: 1.46,1.82). The odds of having CHD are 0.52 times lower in Hispanics (95%CI: 0.41,0.66) with less than high school education compared to all other races/ethnicities and whites.

Conclusion: In conclusion, there is a positive association between depression and developing coronary heart disease, and education levels, race/ethnicity, exercise level, and age help explain this association.

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