Department of Epidemiology, Institute for Preventive Medicine and Public Health (IPMPH), Hanoi Medical University, 01 Ton That Tung Str., Dong Da District, Hanoi, Vietnam.
Quality Management Department, Dong Da General Hospital, 192 Nguyen Luong Bang Str., Dong Da District, Hanoi, Vietnam.
Biomed Res Int. 2018 Nov 25;2018:2370284. doi: 10.1155/2018/2370284. eCollection 2018.
The proportion of elderly people in big cities of developing countries, including Vietnam, is rapidly increasing during the age of rampant urbanization. This is being followed by a sustained rise of illnesses, especially mental health issues. The objective of this study was to analyze the association between depression and the factors associated with depression among the elderly. In a cross-sectional study, 299 elderly living in Hanoi, Vietnam, were approached for data collection. Self-reported depression among the elderly was 66.9% (32.8% mild, 30.4% moderate, and 3.7% severe cases). In multivariate analysis, there were significant associations between age, number of physical activities, number of medicine intake, and 3 domains of quality of life (physical health, psychological health, and environmental health) and depression. Age and the number of medicine intake are positively correlated with depression, accounting for 57.94% and 58.93%, respectively. On the contrary, the number of physical activities and the 3 domains of quality life mentioned above are negatively correlated with depression. In the urban setting of a developing country like Vietnam, the elderly have experienced common depression. Recognizing depression among the elderly-which is individual and social-helps us design public health programs. Screening for early depression, joining social programming, and participating in physical activities may improve the mental life of the elderly.
在城市化快速发展的背景下,包括越南在内的发展中国家大城市的老年人比例正在迅速增加。随之而来的是疾病,尤其是心理健康问题的持续上升。本研究旨在分析发展中国家老年人抑郁与相关因素的关系。采用横断面研究方法,对居住在越南河内的 299 名老年人进行数据收集。老年人自我报告的抑郁发生率为 66.9%(轻度 32.8%,中度 30.4%,重度 3.7%)。多因素分析显示,年龄、体力活动次数、服药种类以及生活质量的 3 个领域(身体健康、心理健康和环境卫生)与抑郁显著相关。年龄和服药种类与抑郁呈正相关,分别占 57.94%和 58.93%。相反,体力活动次数和上述生活质量的 3 个领域与抑郁呈负相关。在像越南这样的发展中国家的城市环境中,老年人普遍存在抑郁问题。认识到老年人的个体和社会抑郁问题有助于我们设计公共卫生项目。对早期抑郁进行筛查、参与社会项目和参加体育活动可能会改善老年人的心理健康。