Tabriz Valiasr International Hospital Publication International Journal of Aging 2980-9827 2 1 2024 03 11 High Blood Pressure Associated with Depression, Not Anxiety: Results from the Tabriz Older People Survey (TOPS) e15 e15 10.34172/ija.2024.e15 EN Akbar Azizi-Zeinalhajlou https://orcid.org/0000-0001-5361-5939 Sarvin Sanaie Fatemeh Jahanjoo Zahra Parsian Behnam Sadighi Mahdi Shiri Mark J.M. Sullman Mostafa Araj-Khodaei https://orcid.org/0000-0002-2590-8467 Zahra Yousefi https://orcid.org/0000-0002-8708-6358 Journal Article 10.34172/ija.2024.e15 2024 08 13 2024 09 22 Objectives: To investigate the relationship between depression/anxiety and hypertension (HTN) in a large population-based sample in Iran. Design: A cross-sectional study. Setting(s): Tabriz, the capital of East Azerbaijan province in northwest Iran. Participants: A total of 1362 individuals were chosen from a representative sample of community-dwelling older adults aged 60 and above, residing in Tabriz. Participants were selected using the probability proportional to size sampling method. Outcome measures: A structured survey was used to measure socio-demographic variables, along with the hospital anxiety and depression scale. Blood pressure (BP) was measured using a standard mercury sphygmomanometer. Results: The results of a multiple logistic regression revealed that age (70-79 years old; P=0.01), employment status (housewives; P=0.02), level of education (illiterate; P<0.01), smoking status (having quit smoking; P<0.01), and depression (P=0.02) were related to HTN among these older adults. Conclusions: These findings highlight the critical importance of integrating mental health assessments and interventions in HTN management and prevention strategies, particularly for older populations.