scholarly journals Psychosocial and physical factors associated with depression in older adults living in studio apartments: A cross-sectional study of a multi-ethnic Asian population

2019 ◽  
Vol 28 (4) ◽  
pp. 243-251
Author(s):  
Grace Sum ◽  
Yun Ru Tan ◽  
Song-Iee Hong ◽  
Gerald Choon-Huat Koh

Background: There is a rapidly ageing population globally, leading to a rise in subsidised public housing in many countries for older adults. According to the World Health Organisation, depression is the most prevalent mental disorder in older adults. There is a gap in literature on the factors associated with depression in those residing in studio apartments for older adults, characterised by small living spaces and isolated community settings. Objective: The aim of this study was to examine the associations between socio-demographic variables, social support, self-perceived health and mental status, life satisfaction, exercise, physical functioning, chronic conditions, and the use of eldercare services, with depressive symptoms. Methods: We utilised a cross-sectional study of older adults aged ⩾55 years residing in Singapore’s studio apartments. Multivariable logistic regression was applied. Results: Widowhood was associated with depressive symptoms, compared to being married or having a domestic partner (adjusted odds ratio (AOR) = 1.70, 95% confidence interval (CI) = 1.01 to 2.86). Odds of depressive symptoms were associated with difficulty bathing and showering (AOR = 3.74, 95% CI = 1.06 to 13.21). Depressive symptoms were associated with cataract (AOR = 1.67, 95% CI = 1.01 to 2.77) and urinary tract disorder (AOR = 4.70, 95% CI = 1.21 to 18.26). There were dose-response relationships between higher odds of depressive symptoms and poorer social support, self-perceived mental health, life satisfaction, and exercise behaviour ( p for trend < 0.001). Conclusion: Factors including widowhood, physical functioning difficulty, chronic conditions, low social support, low self-perceived mental health, poor life satisfaction, and lack of exercise behaviour, were associated with depressive symptoms in older adults residing in studio apartments. More attention is needed to care for the psychosocial and physical needs of older adults in studio apartments.

2021 ◽  
Vol 30 ◽  
Author(s):  
Fernanda Maria Vieira Pereira-Ávila ◽  
Simon Ching Lam ◽  
Maithê de Carvalho e Lemos Goulart ◽  
Fernanda Garcia Bezerra Góes ◽  
Natália Maria Vieira Pereira-Caldeira ◽  
...  

ABSTRACT Objective: to identify factors associated with depressive symptoms among older adults during the COVID-19 pandemic. Method: a cross-sectional study developed in all regions of Brazil, using an electronic form among older adults aged 60 or over. Data were collected from April 17 to May 15, 2020. Measures of central tendency and dispersion were used. For comparison of means, Student’s t-test and analysis of variance were applied, considering p≤0.05. For association of factors, chi-square was adopted with bivariate analyzes and logistic regression. Results: nine hundred (100.0%) older adults participated in the study. The general score for symptoms of depression was 3.8 (SD=4.4), 818 (91.9%) had no or mild depressive symptoms. Women (p <0.01) have more symptoms than men. The income variable is a predictor of depressive symptoms (OR=0.56; CI: 0.34-0.91; p=0.020). Conclusion: the main factors associated with symptoms of depression were sex, income, education and occupations that expose them to COVID-19 had the highest depression scores.


2020 ◽  
Vol 28 ◽  
pp. e51659
Author(s):  
Gildiane Siqueira Ferreira ◽  
Rafaella Queiroga Souto ◽  
Sandra Aparecida de Almeida ◽  
Gerson Da Silva Ribeiro ◽  
Gleicy Karine Nascimento de Araújo ◽  
...  

Objetivo: identificar a prevalência de resiliência em idosos comunitários e sua relação com o apoio social e a satisfação com a vida. Método: estudo transversal, realizado com 159 idosos. Os dados foram obtidos por meio das escalas de Resiliência, Apoio Social e Satisfação com a vida. Resultados: apresentaram baixa resiliência os idosos do sexo feminino, com idade mais avançada, que não sabem ler e escrever, solteiros, residem sozinho, não trabalham, recebem até um salário mínimo, estão insatisfeitos com a vida e apresentam alto apoio social. Os idosos insatisfeitos tem 4,72 vezes mais probabilidade de apresentar baixo nível de resiliência. Foram encontradas correlações positivas entre a resiliência e o apoio social (p=0,022) e entre satisfação com a vida e a resiliência (p=0,000). Conclusão: a resiliência esteve relacionada com o apoio social e satisfação com a vida. ABSTRACTObjective: to identify the prevalence of resilience in older community members, and its relationship with social support and life satisfaction. Method: in this cross-sectional study of 159 older adults, data were obtained using Resilience, Social Support and Life Satisfaction scales. Results: low resilience was found in older adults who were female, older, single, lived alone, could not read and write, did not work, received up to 1 minimum wage, were dissatisfied with life, and had strong social support. Resilience was 4.72 times more likely to be low in dissatisfied older adults. Positive correlations were found between resilience and social support (p = 0.022), and between life satisfaction and resilience (p = 0.000). Conclusion: resilience was related to social support and life satisfaction.RESUMENObjetivo: identificar la prevalencia de la resiliencia en los miembros mayores de la comunidad y su relación con el apoyo social y la satisfacción con la vida. Método: en este estudio transversal de 159 adultos mayores, los datos se obtuvieron mediante escalas de Resiliencia, Apoyo Social y Satisfacción con la Vida. Resultados: se encontró baja resiliencia en adultos mayores que eran mujeres, mayores, solteros, vivían solos, no sabían leer ni escribir, no trabajaban, recibían hasta 1 salario mínimo, estaban insatisfechos con la vida y tenían un fuerte apoyo social. La resiliencia tenía 4,72 veces más probabilidades de ser baja en los adultos mayores insatisfechos. Se encontraron correlaciones positivas entre resiliencia y apoyo social (p = 0.022), y entre satisfacción con la vida y resiliencia (p = 0.000). Conclusión: la resiliencia se relacionó con el apoyo social y la satisfacción con la vida.


Author(s):  
Takafumi Abe ◽  
Kenta Okuyama ◽  
Tsuyoshi Hamano ◽  
Miwako Takeda ◽  
Masayuki Yamasaki ◽  
...  

Although some neighborhood environmental factors have been found to affect depressive symptoms, few studies have focused on the impact of living in a hilly environment, i.e., land slope, on depressive symptoms among rural older adults. This cross-sectional study aimed to investigate whether a land slope is associated with depressive symptoms among older adults living in rural areas. Data were collected from 935 participants, aged 65 years and older, who lived in Shimane prefecture, Japan. Depressive symptoms were assessed using the Zung Self-Rating Depression Scale (SDS) and defined on the basis of an SDS score ≥ 40. Land slopes within a 400 m network buffer were assessed using geographic information systems. Odds ratios (ORs) with 95% confidence intervals (CIs) of depressive symptoms were estimated using logistic regression. A total of 215 (23.0%) participants reported depressive symptoms. The land slope was positively associated with depressive symptoms (OR = 1.04; 95% CI = 1.01–1.08) after adjusting for all confounders. In a rural setting, living in a hillier environment was associated with depressive symptoms among community-dwelling older adults in Japan.


2021 ◽  
pp. 1-20
Author(s):  
Alfred H. K. Lam ◽  
Dannii Y. Yeung ◽  
Edwin K. H. Chung

Abstract Volunteering is a popular activity among middle-aged and older adults as means to contribute to the society and to maintain personal health and wellbeing. While the benefits of volunteering have been well-documented in the current literature, it does not tend to distinguish between various types of volunteering activities. This cross-sectional study aims to compare the effects of instrumental (e.g. food preparation, fundraising) and cognitively demanding volunteering activities (e.g. befriending, mentoring) in a sample of 487 middle-aged and older Hong Kong Chinese adults. Participation in instrumental and cognitively demanding volunteering, life satisfaction, depressive symptoms, cognitive functioning and hand-grip strength were measured. The results of two-way between-subject robust analyses of variance demonstrated significant main effects of volunteering type and their interaction effect with age on life satisfaction and depressive symptoms. Comparisons among four volunteering groups (no volunteering, instrumental volunteering, cognitively demanding volunteering and both types) revealed that individuals engaging in instrumental volunteering exhibited lower life satisfaction and more depressive symptoms compared to those who engaged in cognitively demanding volunteering and those who did not volunteer at all. This detrimental pattern of instrumental volunteering was only seen in middle-aged adults, but not in older adults. Findings of this study revealed distinctive effects of two volunteering types, and provide valuable directions for designing future volunteering programmes.


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Ximena Alvarado San Román ◽  
Maria Cecilia Toffoletto ◽  
Juan Carlos Oyanedel Sepúlveda ◽  
Salvador Vargas Salfate ◽  
Katiuska Lidice Reynaldos Grandón

ABSTRACT Objective: identify the factors associated with subjective wellbeing in older adults. Method: analytical, cross-sectional study developed in Chile. The sample consisted of 20,351 seniors, who answered a question on overall life satisfaction in the National Socio-Economic Survey, 2011. Subjective wellbeing was correlated with health, demographic and social indicators. Comparisons of averages, correlations and regressions were applied using the software Statistical Package for the Social Sciences 20. Results: life satisfaction was associated with increased age; being male; participation in social organizations; being married or living as a couple; having higher education level; higher income; good perceived health status and better health care. Conclusion: according to the age and income predictors, it can be concluded that, over the years, life satisfaction is reinforced, but in combination with adequate perceived health and income, which permit an excellent quality of life.


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