Konda Poojitha Reddy, Sharma Pawan Kumar, Gandhi Atul R, Ganguly Enakshi
Mediciti Institute of Medical Sciences, Ghanpur, Hyderabad, India.
Department of Epidemiology, University of Pittsburgh, Fogarty International NIH, USA and Share India.
J Depress Anxiety. 2018;7(4). doi: 10.4172/2167-1044.1000314. Epub 2018 Aug 14.
Geriatric depression is a growing global problem, expected to be the leading cause of mortality in the next decade. We attempted to explore the previously unidentified burden of depression and its correlates amongst South Indian elderly residing in an urban area.
A cross sectional study including 100 community dwelling urban elders aged 60 years and older was conducted. A predesigned questionnaire was used to collect data on sociodemographic variables, chronic health conditions, changes in vision and cognition, addictions, and medication usage. Depression was assessed using Geriatric Depression Scale. Other measurements included anthropometry and blood pressure. Logistic regression was done to identify the independently associated correlates of depression.
The prevalence of geriatric depression was 23%. 15.4% men and 31.2% women had depression. On logistic regression, the independent correlates of depression were living single (OR:4.26; 95% CI:1.06-17.09), poor self-rated health (OR:12.09; 95% CI:1.41-103.14), bedridden (OR:5.29; 95% CI:1.21-23.04) and osteoarthritis (OR: 4.91; 95% CI:1.39-17.28).
The burden of depression in our urban geriatric population was moderate. Several correlates were positively associated. While addressing geriatric morbidity, screening for elderly depression, as well as exploration and management of related factors would be of significance.
老年抑郁症是一个日益严重的全球性问题，预计在未来十年将成为主要死因。我们试图探究居住在城市地区的南印度老年人中此前未被发现的抑郁症负担及其相关因素。
开展了一项横断面研究，纳入100名年龄在60岁及以上的社区居住城市老年人。使用预先设计的问卷收集有关社会人口统计学变量、慢性健康状况、视力和认知变化、成瘾情况及药物使用的数据。使用老年抑郁量表评估抑郁情况。其他测量指标包括人体测量和血压。进行逻辑回归以确定抑郁症的独立相关因素。
老年抑郁症患病率为23%。15.4%的男性和31.2%的女性患有抑郁症。逻辑回归显示，抑郁症的独立相关因素为独居（比值比：4.26；95%置信区间：1.06 - 17.09）、自评健康状况差（比值比：12.09；95%置信区间：1.41 - 10- 3.14）、卧床不起（比值比：5.29；95%置信区间：1.21 - 23.04）和骨关节炎（比值比：4.91；95%置信区间：1.39 - 17.28）。
我们城市老年人群中的抑郁症负担为中度。有几个相关因素呈正相关。在应对老年疾病时，筛查老年抑郁症以及探索和管理相关因素具有重要意义。
