Institute of Social and Medical Studies, Ha Noi, Vietnam.
National Economics University, Ha Noi, Vietnam.
PLoS One. 2024 May 10;19(5):e0299791. doi: 10.1371/journal.pone.0299791. eCollection 2024.
Depression is one of the most common mental health disorders among older people. Depressive symptoms are often overlooked and untreated in primary care settings. This study aims to assess the prevalence of depressive symptoms and associated factors among older people in Vietnam.
The study analyzed data from the Vietnam National Aging Survey (VNAS) conducted in 2022 with a nationally representative sample of 3,006 older people aged 60 and over in 12 provinces. The 15-item Geriatric Depression Scale (GDS-15) was used to assess depressive symptoms. Bivariate and multiple logistic regression analyses were used to explore the association between depressive symptoms and other related factors such as sociodemographic and economic characteristics, social support, health status, Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) limitations, chronic diseases, cigarette smoking status, alcoholic drinking, and domestic violence.
The prevalence of depressive symptoms among older people was 20.2%. The associated factors that increase the odds of having depression among older people were female gender (OR = 2.21, 95% CI 1.34-3.62), living in rural areas (OR = 1.83, 95% CI 1.15-2.89), the poorest quintile (OR = 2.26, 95% CI 1.39-3.66), self-rated poor health (OR = 11.68, 95% CI 4.96-27.49), ADL limitations (OR = 2.12, 95% CI 1.51-2.99), IADL limitation (OR = 1.61 95% CI 1.16-2.25), and experiencing domestic violence in the last 12 months (OR = 6.66, 95% CI 4.00-11.05).
Depression symptoms were prevalent among older people in Vietnam. Depression screening for older people should be included in primary care settings for early identification and treatment of depression.
抑郁症是老年人中最常见的心理健康障碍之一。在初级保健环境中，抑郁症状经常被忽视和未得到治疗。本研究旨在评估越南老年人抑郁症状的患病率和相关因素。
本研究分析了 2022 年越南国家老龄化调查（VNAS）的数据，该调查在 12 个省对 3006 名 60 岁及以上的老年人进行了全国代表性抽样。使用 15 项老年抑郁量表（GDS-15）评估抑郁症状。采用二变量和多变量逻辑回归分析探讨抑郁症状与其他相关因素（如社会人口经济学特征、社会支持、健康状况、日常生活活动（ADL）和工具性日常生活活动（IADL）受限、慢性疾病、吸烟状况、饮酒和家庭暴力）之间的关联。
老年人抑郁症状的患病率为 20.2%。增加老年人患抑郁症几率的相关因素包括女性（OR=2.21，95%CI 1.34-3.62）、居住在农村地区（OR=1.83，95%CI 1.15-2.89）、最贫困的五分位数（OR=2.26，95%CI 1.39-3.66）、自评健康状况差（OR=11.68，95%CI 4.96-27.49）、ADL 受限（OR=2.12，95%CI 1.51-2.99）、IADL 受限（OR=1.61，95%CI 1.16-2.25）和在过去 12 个月内遭受家庭暴力（OR=6.66，95%CI 4.00-11.05）。
越南老年人中存在抑郁症状。初级保健环境中应包括老年人的抑郁筛查，以便及早发现和治疗抑郁症。
