Document Type

Capstone Experience

Graduation Date

5-2024

Degree Name

Master of Public Health

Department

Epidemiology

First Committee Member

Dr. Kendra Ratnapradipa

Second Committee Member

Dr. Ariane Rung

Third Committee Member

Anthony Blake

Fourth Committee Member

Dr. Ishrat Kamal-Ahmed

Abstract

Objective: To estimate the prevalence of depressive disorders among US adults and explore the association between a history of Myocardial Infarction (MI) and depressive disorders, considering potential risk factors and demographic variables.

Methods: A cross-sectional study was conducted from 2022 Behavioral Risk Factor Surveillance System data, including 390,429 US adults. Logistic regression was used to estimate the association between the history of MI and depressive disorders, adjusting for age, gender, race, smoking status, health insurance, education level, and BMI. Effect modification by age was assessed.

Results: The prevalence of depressive disorders was 21.19%, with 4.46% reporting a history of MI. A significant positive association was found between MI history and depressive disorders (POR 1.45, 95% CI 1.36-1.55). All the covariates were significantly associated with depressive disorders. Stratified analysis by age revealed varying effects across different age groups.

Conclusion: Demonstration of significant association between a history of MI and depressive disorders among US adults suggesting the importance of mental health screening and targeted interventions among MI patients to improve overall health outcomes and quality of life.

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