Pilania Manju, Bairwa Mohan, Khurana Hitesh, Kumar Neelam
Department of Community Medicine School of Public Health, PGIMER, Chandigarh, India.
Centre for Health Systems & Policy Research and Institute of Health Management Research, IIHMR University, Jaipur, India.
Indian J Community Med. 2017 Jan-Mar;42(1):13-18. doi: 10.4103/0970-0218.199792.
Depression in the elderly has been emerged as a serious public health challenge in the developing countries. Elderly population with depression is on rise in India, but is not adequately addressed. This study was planned to ascertain the prevalence of depression among elderly in a rural population of Haryana and assess its socio-demographic correlates.
This study was a community based, cross sectional study, which was conducted in Community Health Centre (CHC), Chiri of Rohtak district (Haryana, India). Of total 124 Anganwadi centres in study area, 10 were randomly selected. A total 500 elderly persons aged 60 years and above were randomly screened for depression. Long form of Geriatric Depression Scale (GDS- 30) was used with cut off score at 22. The Pearson's Chi-squared test, student's t test, and multiple logistic regression were used to assess the association of depression in the elderly with its risk factors.
In our study, the prevalence of depression in the elderly was 14.4% (95% CI: 11.6- 17.8). Mean age of study population was 68.5 ± 7.7 years. Depression in the elderly had significant association with female gender [OR=2.7 (95% CI 1.4- 5.0)], not being consulted for major decisions [OR=2.7 (95% CI 1.5- 4.7)], presence of any chronic morbidity [OR=2.4 (95% CI 1.3- 4.5)], spending day without doing any activity, work or hobby [OR=3.8 (2.1- 7.1)], and death of any close relative in the last 1 year [OR=2 (1.1- 3.7)] after adjustment of various factors.
Our study revealed that the prevalence of depression in the elderly was 14.4% in a rural community of north India.
在发展中国家，老年人抑郁症已成为一项严峻的公共卫生挑战。印度患有抑郁症的老年人口正在增加，但尚未得到充分解决。本研究旨在确定哈里亚纳邦农村地区老年人抑郁症的患病率，并评估其社会人口学相关因素。
本研究是一项基于社区的横断面研究，在印度哈里亚纳邦罗塔克区奇里的社区卫生中心进行。在研究区域的124个安格瓦迪中心中，随机选择了10个。总共随机筛查了500名60岁及以上的老年人是否患有抑郁症。使用老年抑郁量表长版（GDS - 30），截断分数为22。采用Pearson卡方检验、学生t检验和多元逻辑回归来评估老年人抑郁症与其危险因素之间的关联。
在我们的研究中，老年人抑郁症的患病率为14.4%（95%置信区间：11.6 - 17.8）。研究人群的平均年龄为68.5±7.7岁。在调整各种因素后，老年人抑郁症与女性性别[比值比（OR）=2.7（95%置信区间1.4 - 5.0）]、重大决策未被咨询[OR = 2.7（95%置信区间1.5 - 4.7）]、存在任何慢性疾病[OR = 2.4（95%置信区间1.3 - 4.5）]、一整天无所事事、不工作或没有爱好[OR = 3.8（2.1 - 7.1）]以及过去1年内任何近亲死亡[OR = 2（1.1 - 3.7）]存在显著关联。
我们的研究表明，印度北部农村社区老年人抑郁症的患病率为14.4%。
