Department of Public Health, Faculty of Sports Science, Universitas Negeri Semarang, Semarang 50229, Indonesia.
Department of Psychiatry, Dr. Kariadi General Hospital, Semarang 50244, Indonesia.
Int J Environ Res Public Health. 2021 Sep 30;18(19):10301. doi: 10.3390/ijerph181910301.
This cross-sectional study aimed to explore mental health disorders (MHD) prevalence among elderly diabetics in Indonesia. Data were extracted from the 2018 national basic health survey in Indonesia (abbreviated as RISKESDAS). The survey involved households randomly selected from 34 provinces, 416 districts, and 98 cities in Indonesia, with 1,017,290 respondents. The number of subjects selected in this study was 2818 elderly diabetic subjects. MHD was determined by self-reporting assessment. Secondary data acquired from RISKESDAS 2018 data involved age, sex, urban-rural residence status, marital status, educational level, employment status, obesity, hypertension, heart disease, stroke, family history of MHD, and DM duration. Binary logistic regression with a backward stepwise method was used to analyze the risk factors related to MHD. MHD prevalence among elderly diabetics in Indonesia was 19.3%. Factors associated with MHD among elderly diabetics were being female (prevalence odds ratio (POR) = 1.64; 95% CI: 1.126-2.394), married (POR = 0.05; 95% CI: 0.031-0.084), less education (POR = 3.37; 95% CI: 1.598-10.355), and stroke (POR = 1.61; 95% CI: 1.183-2.269). MHD prevalence among elderly diabetics in Indonesia was 19.3%, suggesting that screening for psychological problems and educating elderly diabetic patients is essential. Unmarried female elderly diabetics with less education and stroke were altogether more likely to experience MHD.
本横断面研究旨在探讨印度尼西亚老年糖尿病患者的心理健康障碍（MHD）患病率。数据来自印度尼西亚 2018 年国家基本健康调查（简称 RISKESDAS）。该调查涉及从印度尼西亚 34 个省、416 个区和 98 个城市中随机选择的家庭，共有 1,017,290 名受访者。本研究选择的研究对象数量为 2818 名老年糖尿病患者。MHD 通过自我报告评估确定。从 RISKESDAS 2018 年数据中获得的二手数据包括年龄、性别、城乡居住状况、婚姻状况、教育水平、就业状况、肥胖、高血压、心脏病、中风、MHD 家族史和糖尿病病程。采用向后逐步法的二元逻辑回归分析与 MHD 相关的危险因素。印度尼西亚老年糖尿病患者的 MHD 患病率为 19.3%。与老年糖尿病患者 MHD 相关的因素包括女性（患病优势比（POR）=1.64；95%CI：1.126-2.394）、已婚（POR=0.05；95%CI：0.031-0.084）、教育程度较低（POR=3.37；95%CI：1.598-10.355）和中风（POR=1.61；95%CI：1.183-2.269）。印度尼西亚老年糖尿病患者的 MHD 患病率为 19.3%，这表明对心理问题进行筛查和对老年糖尿病患者进行教育非常重要。未婚的女性老年糖尿病患者，教育程度较低且患有中风，他们更有可能经历 MHD。
