A Study on Prevalence and Factors Associated with Depression among Elderly Residing in Tenements Under Resettlement Scheme, Kancheepuram District, Tamil Nadu.

DALY depression doorstep health services elderly mental health disorders

Journal

Journal of mid-life health
ISSN: 0976-7800
Titre abrégé: J Midlife Health
Pays: India
ID NLM: 101552746

Informations de publication

Date de publication:
Historique:
received: 23 03 2020
revised: 26 12 2020
accepted: 30 05 2021
entrez: 16 9 2021
pubmed: 17 9 2021
medline: 17 9 2021
Statut: ppublish

Résumé

Mental disorders have got high prevalence and low priority among the elderly in most of the countries worldwide, of which depression being the most common treatable condition. The causes for elderly depression are multifactorial and preventable. The aim of this study is to estimate the prevalence of depression and to assess the factors associated with depression among the elderly age. A cross-sectional study was conducted among participants more than 60 years of age residing in tenements under resettlement scheme in Semmenchery, Kancheepuram district, Tamil Nadu with a sample size of 184. Systematic sampling method was adopted to collect data at participants door step. A predesigned, pretested questionnaire was used to assess the factors associated with depression, and the Geriatric depression scale-30 was used to assess depression. The data were analyzed using SPSS and Chi-square <0.05 was considered significant. The overall prevalence of depression was 35.3%. The factors such as female gender, educational status, occupation, type of family, financial dependency, history of depression, smoking and medical factors such as hypertension, cardiac disease, and chronic kidney disease and life events like conflict in family, unemployment, and financial problem were statistically significant ( Loss of spouse, financial dependency, neglected care, lack of awareness about the disease were found to be barriers in reaching basic mental health care for the elderly. Depression remains one of the main causes of DALY, especially among elders. National Program for Health care of elderly provides doorstep services, so incorporation of depression screening into that can impart the effects of depression on quality of life and DALY.

Sections du résumé

BACKGROUND BACKGROUND
Mental disorders have got high prevalence and low priority among the elderly in most of the countries worldwide, of which depression being the most common treatable condition. The causes for elderly depression are multifactorial and preventable.
OBJECTIVE OBJECTIVE
The aim of this study is to estimate the prevalence of depression and to assess the factors associated with depression among the elderly age.
MATERIALS AND METHODS METHODS
A cross-sectional study was conducted among participants more than 60 years of age residing in tenements under resettlement scheme in Semmenchery, Kancheepuram district, Tamil Nadu with a sample size of 184. Systematic sampling method was adopted to collect data at participants door step. A predesigned, pretested questionnaire was used to assess the factors associated with depression, and the Geriatric depression scale-30 was used to assess depression. The data were analyzed using SPSS and Chi-square <0.05 was considered significant.
RESULTS RESULTS
The overall prevalence of depression was 35.3%. The factors such as female gender, educational status, occupation, type of family, financial dependency, history of depression, smoking and medical factors such as hypertension, cardiac disease, and chronic kidney disease and life events like conflict in family, unemployment, and financial problem were statistically significant (
CONCLUSION CONCLUSIONS
Loss of spouse, financial dependency, neglected care, lack of awareness about the disease were found to be barriers in reaching basic mental health care for the elderly. Depression remains one of the main causes of DALY, especially among elders. National Program for Health care of elderly provides doorstep services, so incorporation of depression screening into that can impart the effects of depression on quality of life and DALY.

Identifiants

pubmed: 34526749
doi: 10.4103/jmh.JMH_45_20
pii: JMH-12-137
pmc: PMC8409704
doi:

Types de publication

Journal Article

Langues

eng

Pagination

137-143

Informations de copyright

Copyright: © 2021 Journal of Mid-life Health.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

Références

PLoS One. 2014 Nov 19;9(11):e113550
pubmed: 25409441
Br J Gen Pract. 2005 Nov;55(520):829-30
pubmed: 16281997
Int Psychogeriatr. 2009 Apr;21(2):372-8
pubmed: 19243657
Indian J Psychiatry. 2015 Jul-Sep;57(3):262-6
pubmed: 26600579
Psychol Med. 1998 May;28(3):573-84
pubmed: 9626714
J Urban Health. 2014 Dec;91(6):1065-75
pubmed: 25163930
Indian J Psychiatry. 2002 Jan;44(1):34-40
pubmed: 21206879
J Family Med Prim Care. 2014 Oct-Dec;3(4):359-61
pubmed: 25657943
Indian J Public Health. 2009 Oct-Dec;53(4):253-5
pubmed: 20469769
Indian J Public Health. 2018 Apr-Jun;62(2):89-94
pubmed: 29923530
J Psychiatr Res. 1982-1983;17(1):37-49
pubmed: 7183759
Indian J Public Health. 2015 Jan-Mar;59(1):3-8
pubmed: 25758724

Auteurs

Buvnesh M Kumar (BM)

Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kancheepuram, Tamil Nadu, India.

T K Raja (TK)

Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kancheepuram, Tamil Nadu, India.

Fasna Liaquathali (F)

Assistant Program Manager, National Health Mission, Deputy Directorate of Health Services, Udhagamandalam, The Nilgiris, Tamil Nadu, India.

Jasmine Maruthupandian (J)

Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Chengalpattu, India.

Pragadeesh V Raja (PV)

Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth - Deemed to be University, Kancheepuram, Tamil Nadu, India.

Classifications MeSH