scholarly journals Prevalence of depression, and its associated factors among the elderly in Songkhla Province, Thailand: Two-stage cluster sampling study

2017 ◽  
Vol 8 (2) ◽  
2017 ◽  
Vol 35 (2) ◽  
pp. 139 ◽  
Author(s):  
Kanthee Anantapong ◽  
Jarurin Pitanupong ◽  
Nisan Werachattawan ◽  
Warut Aunjitsakul

Objective: Elderly patients with their deteriorating global health are becoming more vulnerable to mental disorders,especially depression. The aim of this study is to determine the prevalence and associated factors of depression amongstpatients attending outpatient clinics in Songklanagarind Hospital, a tertiary care center in southern Thailand.Material and Method: This is a cross-sectional descriptive study. Elderly people (65-99 years of age) attending the outpatient department of Songklanagarind Hospital during 1st of September-30th of November 2015 were included in the study. The sample size was calculated using Epicalc in R program. We used the 15-item Thai Geriatric DepressionScale (TGDS-15) questionnaire to find the prevalence of depression among this group. Associated factors of depression were identified by multiple logistic regression using a backward-stepwise method.Results: The total number of participants in this study was 408. The prevalence of depression based on the TGDS-15,cut-off score of >5, among elderly outpatients in Songklanagarind Hospital was 9.6%. However, regarding multiple regression analysis, no statistically significant factors; sex, age, marital status, educational level, and religion, could be found to be associated with depression.Conclusion: Almost one-tenth of the elderly patients visiting the outpatient clinics within Songklanagarind Hospital haddepression. This prevalence was quite high. The depression would worsen their health conditions. Good, rigorousscreening coupled with a referral system should be encouraged and then implemented in this hospital.


Author(s):  
Zhaorong Gao ◽  
Lingzhong Xu ◽  
Wenzhe Qin ◽  
Jiao Zhang ◽  
Jinling Zhou ◽  
...  

(1) Objectives: With an aging society in China, self-treatment now plays an important role in health care among older adults, but it can be problematic. This study aims to explore and compare the self-treatment behavior among empty and non-empty nesters. (2) Methods: Using a multi-stage stratified random cluster sampling method, a total of 4366 elderly people aged 60 and above from Shandong Province, China, were enrolled in this study. Data were collected through a structured questionnaire. Binary logistic regression was used to analyze the associated factors of self-treatment. (3) Results: The prevalence of self-treatment in empty nesters was significantly lower than that in non-empty ones (74.0% vs. 83.3%). Binary logistic regression analysis showed that higher educational level and poorer self-rated economic status were negatively associated with self-treatment in empty nesters, while unemployed and urban and rural residents’ basic medical insurance were positively associated with self-treatment in non-empty ones. (4) Conclusions: The study indicated that empty nesters had lower likelihood of self-treatment than non-empty ones. Empty nesters with better socioeconomic status were more likely to use self-treatment; by contrast, non-empty nesters with relatively poorer socioeconomic status were more inclined to self-treatment. Targeted interventions should be developed to maximize the effectiveness of self-treatment and reduce health risks.


2018 ◽  
Vol 8 (6) ◽  
pp. 82-88
Author(s):  
Dieu Do Van ◽  
Khanh Doan Vuong Diem ◽  
Hang Tran Nhu Minh

Introduction: Depression is a common mental disorder in the elderly. It will be the leading cause of the global burden of disease by 2030. Objectives: (1) To identify the prevalence of depression among the elderly in Truong Quang Trong ward, Quang Ngai city using the GDS-30 scale. (2) To analyze the factors associated with depression among participants. Research methods: This was a descriptive cross – sectional study. A total sample of 447 people aged 60 and older living in Truong Quang Trong, Quang Ngai city were investigated. The GDS – 30 was used to identify depression and a semi – structure questionnaire was used to examine associated factors of depression. Multivariable logistic regression method was used to analyze factors associated with depression. Results: The prevalence of depression in the participants was 15.9%, among which mild depression was 2.7%, average 9.2% and severe 4.0%. Associated factors with depression were physical activity, negative events in the past 12 months, stressful events in life, family structure-living conditions and genetic factors. Conclusion: In this population, prevalence of depression in the elderly was quite high, therefore early detection and identification of risk factors of depression are essential for early intervention and prevention of this disorder. Key words: Depression, elderly, Truong Quang Trong Ward, Quang Ngai City


2020 ◽  
Vol 26 (103) ◽  
pp. 213-232
Author(s):  
Alicia Gutiérrez Misis ◽  
◽  
María González-Fernández ◽  
María Victoria Castell Alcalá ◽  
◽  
...  

Depression has great influence on the burden of disease in the elderly population all over the world. So that, the aim of this study is to assess the prevalence of depression in a population ba-sed spanish cohort of people aged 65 years and older (N = 762) and to study its associated factors. Logistic regression analysis were run, taking depression as the dependent covariate and socio-demographic, health, social networking and social help factors as independent covariates. The prevalence of depression was 29.7 per cent. Being woman, having low incomes and/or low level of education, having at least one grandchild, having poor self rated health and/or disability and has been given external help were associated with depression in an independent and strong way.


2021 ◽  
Vol 8 (1) ◽  
pp. 205510292098844
Author(s):  
Bao-Yen Luong-Thanh ◽  
Lan Hoang Nguyen ◽  
Linda Murray ◽  
Manuel Eisner ◽  
Sara Valdebenito ◽  
...  

To date, little attention has been given to prenatal depression, especially in low and middle-income countries. The aim of this research was to assess the prevalence of depression and its associated factors amongst pregnant women in a central Vietnamese city. This cross-sectional study included 150 pregnant women from 29 to 40 weeks of gestation, from eight wards of Hue city, via quota sampling from February to May 2019. We employed the Patient Health Questionnaire (PHQ-9) to assess depression. Findings suggest the need to provide routine screening of pregnant women in primary care for depressive symptoms and other mental health problems.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
A Ünsal ◽  
D Arslantaş

Abstract Background Malnutrition is an important cause of morbidity and mortality. Malnutrition increases the number of hospitalizations and prolongs the length of hospitalization by disrupting organ functions, increasing the number and severity of infections and delaying wound healing. The aim of this study was to determine the frequency of suspected malnutrition in the elderly, to examine some related variables and to evaluate the depression. Methods The study is a cross-sectional study conducted between March-April 2019 in individuals aged 60 years and older living in Sivrihisar. Sample size was calculated as 579. Cluster sampling method used. Data was collected by door to door in 4 neighborhoods determined by randomly. Mini Nutritional Assessment Test-Short Form (for malnutrition), Katz Daily Living Activities Scale (for dependency) and Geriatric Depression Scale-Short Form (for depression) were used. Chi-square test, Mann Whitney U test and logistic regression analysis were used for the analyzes. Results The study group consisted of 220 (38%) women and 359 (62%) men. The mean age was 68.9±6.4 (ranged 60-93). Frequency of suspected malnutrition was 25% (n = 145). Being 80 years of age or older (OR:3.24, CI:1.53-6.85), having a primary and lower education level (OR:2.54, CI:1.32-4.90), history of chronic illness (OR:2.34, CI:1.33-4.03), using dentures (OR:1.62, CI:1.03-2.55) and suspected depression (OR:4.97, CI:3.17-7.78) are important risk factors for malnutrition. Those with suspicion of malnutrition had lower scores on DLA (z = 8.982;p=0.001). Conclusions Malnutrition was found to be an important health problem for the elderly. The frequency of suspected malnutrition is higher in individuals with depression. Those with suspected malnutrition have higher level of dependency. In order to reduce the frequency of malnutrition, it may be beneficial to increase the awareness of the elderly and caregivers and to give importance to the elderly nutrition of primary health care providers. Key messages Depression is an important risk factor for malnutrition. Malnutrition increases the dependence of the individual on daily activities.


2014 ◽  
Vol 17 (3) ◽  
pp. 705-718 ◽  
Author(s):  
Iara Guimarães Rodrigues ◽  
Gustavo Pereira Fraga ◽  
Marilisa Berti de Azevedo Barros

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.


BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017966 ◽  
Author(s):  
Maria Elizete A Araujo ◽  
Marcus T Silva ◽  
Tais F Galvao ◽  
Mauricio G Pereira

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.


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