Comparative assessment of psychosocial status of elderly in urban and rural areas, Karnataka, India.
Elderly
psychological status
rural
social status
urban
Journal
Journal of family medicine and primary care
ISSN: 2249-4863
Titre abrégé: J Family Med Prim Care
Pays: India
ID NLM: 101610082
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
12
07
2019
revised:
22
08
2019
accepted:
29
08
2019
entrez:
5
11
2019
pubmed:
5
11
2019
medline:
5
11
2019
Statut:
epublish
Résumé
Psychological and social factors form an integral part in the health and well being of an elderly. Understanding these factors and their differential distribution based on geographical location will help in providing quality care. The aim of this study is to provide a comparative assessment of the psychological and social status of the elderly living in urban and rural area of Karnataka and to identify factors associated with the occurrence of psychological problems among elderly. This comparative cross-sectional study was done by interviewing 510 elderly in house to house survey in urban and rural area. A pre-tested semi-structured questionnaire was used to collect information pertaining to social and demographic characteristics Cognitive assessment of the elderly was done using Hindi Mini Mental State Examination. Subsequently cognitively normal elderly was assessed for depression using Geriatric depression scale (GDS 15). The Barthel's Activities of Daily Living and Lawton's Instrumental Activities of Daily Living was used for functional assessment of elderly. The proportion of elderly who were at risk of developing depression was higher in rural area (32.6%) when compared to urban area (30.4%). Logistic regression analysis showed that illiteracy, poor perceived mental health, having no one to confide to when they have a problem and feeling financially insecure were significantly associated with risk of depression. Study showed that there is a significant difference in the social and psychological status of elderly in urban and rural areas. Understanding these differences is essential to plan and implement services specifically for urban and rural population.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Psychological and social factors form an integral part in the health and well being of an elderly. Understanding these factors and their differential distribution based on geographical location will help in providing quality care. The aim of this study is to provide a comparative assessment of the psychological and social status of the elderly living in urban and rural area of Karnataka and to identify factors associated with the occurrence of psychological problems among elderly.
METHODS
METHODS
This comparative cross-sectional study was done by interviewing 510 elderly in house to house survey in urban and rural area. A pre-tested semi-structured questionnaire was used to collect information pertaining to social and demographic characteristics Cognitive assessment of the elderly was done using Hindi Mini Mental State Examination. Subsequently cognitively normal elderly was assessed for depression using Geriatric depression scale (GDS 15). The Barthel's Activities of Daily Living and Lawton's Instrumental Activities of Daily Living was used for functional assessment of elderly.
RESULTS
RESULTS
The proportion of elderly who were at risk of developing depression was higher in rural area (32.6%) when compared to urban area (30.4%). Logistic regression analysis showed that illiteracy, poor perceived mental health, having no one to confide to when they have a problem and feeling financially insecure were significantly associated with risk of depression.
CONCLUSION
CONCLUSIONS
Study showed that there is a significant difference in the social and psychological status of elderly in urban and rural areas. Understanding these differences is essential to plan and implement services specifically for urban and rural population.
Identifiants
pubmed: 31681658
doi: 10.4103/jfmpc.jfmpc_536_19
pii: JFMPC-8-2870
pmc: PMC6820432
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2870-2876Informations de copyright
Copyright: © 2019 Journal of Family Medicine and Primary Care.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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