Association between depressive symptoms and health-related quality of life among older adults with hypertension living alone
Abstract
BackgroundOlder adults with hypertension who live alone face greater psychological pressure and poorer health outcomes compared with those living with family, yet evidence regarding the interplay of depression and quality of life in this vulnerable group remains insufficient. To determine the factors associated with depression status and health-related quality of life among older adults with hypertension living alone and to provide a reference for improving mental health and health-related quality of life in this population.MethodsData from 278 older adults aged 65 years and older living with hypertension were selected from the “NCLM-Cohort_2023–2024 database.” Depression status was assessed using the Chinese version of the Patient Health Questionnaire Depression Scale (PHQ-9), and quality of life was evaluated using the EuroQol Five-Dimension Five-Level Scale (EQ-5D-5L). Factors related to depression status and quality of life among older adults with hypertension living alone were explored using univariate analysis, binary logistic regression, and multiple linear regression.ResultsThe median EuroQol Visual Analog Scale (EQ-VAS) score was 80.00 (63.75, 83.00) points. Binary logistic regression showed that female sex, sleep duration of 6–8 h or >8 h, alcohol consumption, occasional consumption of fried food, and no or very little consumption of fried food were protective factors for depression, whereas difficulty falling asleep was a risk factor for depression. Multiple linear regression indicated that marital status, occupation, sleep duration, difficulty falling asleep, and frequency of eating pickles and preserved vegetables were influencing factors for EQ-VAS scores. Depressive state significantly moderated the relationship between sleep duration and quality of life.ConclusionMultiple factors are associated with depression symptoms and quality of life among older adults with hypertension living alone. Adjusting sleep duration and dietary habits, improving disease perception, and enhancing social support may help reduce the incidence of depression and improve quality of life.
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BibTeX
@article{chen2026association,
title = {{Association between depressive symptoms and health-related quality of life among older adults with hypertension living alone}},
author = {Shuke Chen and Ping Zhang and Xue Zhou and Weidong Ning and Yujuan Yang and Han Liu and Xuemei Li},
journal = {Frontiers in Public Health},
year = {2026},
month = nov,
doi = {10.3389/fpubh.2026.1899699},
url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1899699},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Association between depressive symptoms and health-related quality of life among older adults with hypertension living alone
AU - Shuke Chen
AU - Ping Zhang
AU - Xue Zhou
AU - Weidong Ning
AU - Yujuan Yang
AU - Han Liu
AU - Xuemei Li
PY - 2026
DA - 2026/11/09
JO - Frontiers in Public Health
DO - 10.3389/fpubh.2026.1899699
UR - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1899699
AB - BackgroundOlder adults with hypertension who live alone face greater psychological pressure and poorer health outcomes compared with those living with family, yet evidence regarding the interplay of depression and quality of life in this vulnerable group remains insufficient. To determine the factors associated with depression status and health-related quality of life among older adults with hypertension living alone and to provide a reference for improving mental health and health-related quality of life in this population.MethodsData from 278 older adults aged 65 years and older living with hypertension were selected from the “NCLM-Cohort_2023–2024 database.” Depression status was assessed using the Chinese version of the Patient Health Questionnaire Depression Scale (PHQ-9), and quality of life was evaluated using the EuroQol Five-Dimension Five-Level Scale (EQ-5D-5L). Factors related to depression status and quality of life among older adults with hypertension living alone were explored using univariate analysis, binary logistic regression, and multiple linear regression.ResultsThe median EuroQol Visual Analog Scale (EQ-VAS) score was 80.00 (63.75, 83.00) points. Binary logistic regression showed that female sex, sleep duration of 6–8 h or >8 h, alcohol consumption, occasional consumption of fried food, and no or very little consumption of fried food were protective factors for depression, whereas difficulty falling asleep was a risk factor for depression. Multiple linear regression indicated that marital status, occupation, sleep duration, difficulty falling asleep, and frequency of eating pickles and preserved vegetables were influencing factors for EQ-VAS scores. Depressive state significantly moderated the relationship between sleep duration and quality of life.ConclusionMultiple factors are associated with depression symptoms and quality of life among older adults with hypertension living alone. Adjusting sleep duration and dietary habits, improving disease perception, and enhancing social support may help reduce the incidence of depression and improve quality of life.
SN - 2296-2565
ER -