Date of Conferral

2022

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

Vibha Kumar

Abstract

Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted sample comprised 6,831,850 White non-Hispanic and Black non-Hispanic respondents. Specifically, 64.4% (n = 4,398,351) of respondents were White non-Hispanic, and 35.6% (n = 2,433,499) were Black non-Hispanic. Most respondents (96%, n = 6,557,146) did not have CKD, whereas 4% (n = 275,304) had CKD. Two research questions were formulated for investigation. The hypotheses were tested with complex samples logistic regression. CKD was significantly associated with depression in White non-Hispanic and Black non-Hispanic participants. CKD was not significantly related to days of poor mental health among White non-Hispanic and Black non-Hispanic participants. The results of this study have potential implications for positive social change by improving patient–provider relationships when addressing CKD and mental health so that better treatment options are provided for patients and diagnosed patients experience a better quality of life.

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