Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease
Objective: Determine the association between social inequality indicators and symptoms of anxiety and depression in patients with end-stage chronic kidney disease (ESRD). Methods: A cross-sectional analytical study was conducted in Tacna, Peru, involving patients with ESRD between July 1st and Septe...
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Elsevier
2024-11-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398424003506 |
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| author | Cesar Copaja-Corzo Guimel Palomino-Guerra Dana Machaca-Choque Brayan Miranda-Chavez Javier Flores-Cohaila |
| author_facet | Cesar Copaja-Corzo Guimel Palomino-Guerra Dana Machaca-Choque Brayan Miranda-Chavez Javier Flores-Cohaila |
| author_sort | Cesar Copaja-Corzo |
| collection | DOAJ |
| description | Objective: Determine the association between social inequality indicators and symptoms of anxiety and depression in patients with end-stage chronic kidney disease (ESRD). Methods: A cross-sectional analytical study was conducted in Tacna, Peru, involving patients with ESRD between July 1st and September 30th, 2023. Social inequality indicators included type of social insurance, educational level, and economic support. Anxiety and depression were assessed using the Hopkins Symptom Checklist-25 (HSCL-25). Results: A total of 207 ESRD patients were surveyed; 52.7 % were male, with a median age of 62 years (IQR 52–70). Symptoms of anxiety and depression were present in 43 % and 65.2 % of participants, respectively. In the adjusted model, anxiety symptoms were more prevalent among those with comprehensive health insurance coverage (aPR: 1.42; IC95 %: 1.0–2.0) and older adults (aPR: 1.72; 1.2–2.4) and less prevalent among males (aPR: 0.48; 0.3–0.7). Depression symptoms were less prevalent among those who were economically self-sufficient (aPR: 0.60; 0.4–0.8) and more prevalent in patients with anxiety symptoms (aPR: 1.77; 1.4–2.2). Conclusion: Anxiety and depression symptoms are common in patients with ESRD. We identified that social inequality indicators such as unemployment and type of health insurance were associated with higher anxiety and depression symptoms. Policies focusing on the social determinants of health are necessary, especially for vulnerable populations such as patients with ESRD. |
| format | Article |
| id | doaj-art-54516403795c47f4b0fa011e13a287b6 |
| institution | Kabale University |
| issn | 2213-3984 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-54516403795c47f4b0fa011e13a287b62024-12-28T05:22:08ZengElsevierClinical Epidemiology and Global Health2213-39842024-11-0130101853Anxiety and depression associated with social inequity indicators in patients with end-stage renal diseaseCesar Copaja-Corzo0Guimel Palomino-Guerra1Dana Machaca-Choque2Brayan Miranda-Chavez3Javier Flores-Cohaila4Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru; Servicio de Infectología, Hospital Nacional Edgardo Rebagliati Martins, EsSalud. Lima, Peru; Corresponding author. Av. La Fontana, La Molina, Lima, Peru.Universidad Privada de Tacna, Tacna, PeruUniversidad Privada de Tacna, Tacna, PeruUniversidad Privada de Tacna, Tacna, Peru; Servicio de Geriatria, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud. Lima, PeruUniversidad Científica Del Sur, Lima, Peru; Hospital Nacional Victor Larco Herrera. Lima, PeruObjective: Determine the association between social inequality indicators and symptoms of anxiety and depression in patients with end-stage chronic kidney disease (ESRD). Methods: A cross-sectional analytical study was conducted in Tacna, Peru, involving patients with ESRD between July 1st and September 30th, 2023. Social inequality indicators included type of social insurance, educational level, and economic support. Anxiety and depression were assessed using the Hopkins Symptom Checklist-25 (HSCL-25). Results: A total of 207 ESRD patients were surveyed; 52.7 % were male, with a median age of 62 years (IQR 52–70). Symptoms of anxiety and depression were present in 43 % and 65.2 % of participants, respectively. In the adjusted model, anxiety symptoms were more prevalent among those with comprehensive health insurance coverage (aPR: 1.42; IC95 %: 1.0–2.0) and older adults (aPR: 1.72; 1.2–2.4) and less prevalent among males (aPR: 0.48; 0.3–0.7). Depression symptoms were less prevalent among those who were economically self-sufficient (aPR: 0.60; 0.4–0.8) and more prevalent in patients with anxiety symptoms (aPR: 1.77; 1.4–2.2). Conclusion: Anxiety and depression symptoms are common in patients with ESRD. We identified that social inequality indicators such as unemployment and type of health insurance were associated with higher anxiety and depression symptoms. Policies focusing on the social determinants of health are necessary, especially for vulnerable populations such as patients with ESRD.http://www.sciencedirect.com/science/article/pii/S2213398424003506Chronic kidney diseaseHemodialysisDepressionAnxiety (source: MeSH) |
| spellingShingle | Cesar Copaja-Corzo Guimel Palomino-Guerra Dana Machaca-Choque Brayan Miranda-Chavez Javier Flores-Cohaila Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease Clinical Epidemiology and Global Health Chronic kidney disease Hemodialysis Depression Anxiety (source: MeSH) |
| title | Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease |
| title_full | Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease |
| title_fullStr | Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease |
| title_full_unstemmed | Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease |
| title_short | Anxiety and depression associated with social inequity indicators in patients with end-stage renal disease |
| title_sort | anxiety and depression associated with social inequity indicators in patients with end stage renal disease |
| topic | Chronic kidney disease Hemodialysis Depression Anxiety (source: MeSH) |
| url | http://www.sciencedirect.com/science/article/pii/S2213398424003506 |
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