Department of Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
Nagoya University Asian Satellite Campuses Institute, Nagoya, Japan.
Sci Rep. 2021 May 7;11(1):9763. doi: 10.1038/s41598-021-88621-w.
Providing elderly mental healthcare in Myanmar is challenging due to the growing elderly population and limited health resources. To understand common mental health problems among Myanmar elderly, this study explored the prevalence and risk factors of anxiety and depression among the elderly in the Nay Pyi Taw Union Territory, Myanmar. A cross-sectional study was conducted among 655 elderly by face-to-face interviews with a pretested questionnaire. Descriptive analysis and multiple logistic regression analyses were performed. The prevalence of anxiety and depression were 39.4% (33.5% for males and 42.4% for females) and 35.6% (33.0% for males and 36.9% for females), respectively. The adjusted odds ratio of having anxiety was significant for having low education level, having comorbidity, having BMI < 21.3, poor dental health, no social participation, and having no one to consult regarding personal problems, while that of having depression was significant for having comorbidity, having BMI < 21.3, poor vision, and having no one to consult regarding personal problems. The reported prevalence of anxiety and depression indicate the demand for mental healthcare services among Myanmar elderly. Myanmar needs to improve its elderly care, mental healthcare, and social security system to reflect the actual needs of its increasing elderly population. Screening for anxiety and depression among elderly with comorbidities should be promoted. Raising community awareness of mental health, encouraging social participation, and supportive counselling are also essential in combating anxiety and depression among Myanmar elderly.
在缅甸,为老年人提供精神保健服务具有挑战性,因为老年人口不断增加,而卫生资源有限。为了了解缅甸老年人常见的精神健康问题,本研究探讨了缅甸内比都联邦特区老年人焦虑和抑郁的患病率和危险因素。通过面对面访谈和预测试问卷,对 655 名老年人进行了横断面研究。进行了描述性分析和多逻辑回归分析。焦虑和抑郁的患病率分别为 39.4%(男性为 33.5%,女性为 42.4%)和 35.6%(男性为 33.0%,女性为 36.9%)。调整后的教育程度低、合并症、BMI<21.3、牙齿健康状况差、没有社会参与度和个人问题无人咨询与焦虑的发生显著相关,而合并症、BMI<21.3、视力差和个人问题无人咨询与抑郁的发生显著相关。报告的焦虑和抑郁患病率表明缅甸老年人对精神保健服务的需求。缅甸需要改善其老年人护理、精神保健和社会保障系统,以反映其不断增长的老年人口的实际需求。应提倡对患有合并症的老年人进行焦虑和抑郁筛查。提高社区对心理健康的认识、鼓励社会参与和提供支持性咨询对于缓解缅甸老年人的焦虑和抑郁也至关重要。