Glob Ment Health (Camb). 2026 May 12;13:e107. doi: 10.1017/gmh.2026.10218. eCollection 2026.
ABSTRACT
Depression commonly coexists with cardiovascular diseases (CVDs) in older adults, worsening functional outcomes, medication adherence and survival. In Nigeria, nationally representative data on depression among older adults with CVD are scarce. This study aimed to determine the prevalence of depression, identify key factors associated with depression and examine psychosocial and clinical correlates among older Nigerians receiving CVD care. A hospital-based cross-sectional study was conducted (March 2024-July 2025) across 12 tertiary hospitals representing Nigeria's six geopolitical zones. A total of 918 adults aged ≥60 years with confirmed CVD were recruited using multistage sampling. Depression and functional status were assessed using a culturally adapted Depression Assessment Questionnaire incorporating the GDS-15 and Lawton IADL Scale. Data were analyzed using chi-square tests and multivariate logistic regression. Depressive symptoms were prevalent in 89.7% of participants. Independent factors associated with depression included age ≥ 70 years (AOR = 2.55), Christian affiliation (AOR = 4.65), alcohol use (AOR = 2.98), CVD duration ≥5 years (AOR = 5.68), comorbidities (AOR = 2.49) and medication dependence (AOR = 9.10). Living with family was protective. Sex, education, residence, smoking and functional status were not significant factors associated with depression. Depression is highly prevalent among older Nigerians with CVD. Integrating routine depression screening and psychosocial support into cardiovascular care is urgently needed.
PMID:42245317 | PMC:PMC13231227 | DOI:10.1017/gmh.2026.10218