Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, 10400 Bangkok, Thailand; Department of Public Health, Sefako Makgatho Health Sciences University, 0208 Pretoria, South Africa; Department of Healthcare Administration, College of Medical and Health Science, Asia University, 41354 Taichung, Taiwan.
Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, 10400 Bangkok, Thailand; Department of Psychology, University of the Free State, 9301 Bloemfontein, South Africa; Department of Psychology, College of Medical and Health Science, Asia University, 41354 Taichung, Taiwan.
Actas Esp Psiquiatr. 2024 Oct;52(5):705-715. doi: 10.62641/aep.v52i5.1686.
Depressive symptoms may increase with age, potentially influenced by sociodemographic characteristics, stressors and support, health status, and health behaviour. It is unclear if this is the case among older adults in the Philippines. Therefore, the aim of this study is to estimate the prevalence and associated factors of depressive symptoms among older adults in the Philippines.
In all, 5209 items of cross-sectional nationally representative data from older adults (≥60 years) participating in the 2018 Longitudinal Study on Ageing and Health in the Philippines (LSAHP) were analysed. Depressive symptoms were assessed using the 11-item 3-response category Center for Epidemiological Studies Depression (CES-D) Scale.
The overall prevalence of depressive symptoms was 32.1%, with 25.6% among older men and 36.5% among older women. In the final adjusted models, overall, widowed (Adjusted Odds Ratio (AOR): 1.52, 95% Confidence Interval (CI): 1.00 to 2.30), hunger (AOR: 2.22, 95% CI: 1.40 to 3.51), living alone (AOR: 1.61, 95% CI: 1.00 to 2.59), not satisfied with present life (AOR: 2.04, 95% CI: 1.09 to 3.81), body pain (AOR: 2.39, 95% CI: 1.73 to 3.31), and insomnia (AOR: 1.69, 95% CI: 1.24 to 2.31) were positively associated, while working (AOR: 0.55, 95% CI: 0.37 to 0.80) was negatively associated with depressive symptoms. In addition, among men, older age (80 years and above) (AOR: 1.95, 95% CI: 1.06 to 3.58), unmet healthcare needs (AOR: 2.19, 95% CI: 1.07 to 4.47), and hearing difficulty (AOR: 2.41, 95% CI: 1.06 to 5.52) were positively associated poor childhood health (AOR: 0.12, 95% CI: 0.04 to 0.36), while social network (AOR: 0.94, 95% CI: 0.90 to 0.99) was negatively associated. Among women, loss of bladder control (AOR: 1.69, 95% CI: 1.03 to 2.77) was positively associated with depressive symptoms.
One in three older adults participating in this study exhibited depressive symptoms. Sociodemographic factors, stressors, and health status factors were positively associated, and support factors were negatively associated with depressive symptoms.
抑郁症状可能会随着年龄的增长而增加，这可能受到社会人口统计学特征、压力源和支持、健康状况和健康行为的影响。目前尚不清楚菲律宾的老年人是否存在这种情况。因此，本研究旨在估计菲律宾老年人抑郁症状的流行情况及其相关因素。
本研究共分析了来自参加菲律宾 2018 年老龄化与健康纵向研究（LSAHP）的 5209 名老年人（≥60 岁）的横断面全国代表性数据。使用 11 项 3 项反应类别中心流行病学研究抑郁量表（CES-D）评估抑郁症状。
抑郁症状的总患病率为 32.1%，其中男性为 25.6%，女性为 36.5%。在最终的调整模型中，总体而言，丧偶（调整优势比（AOR）：1.52，95%置信区间（CI）：1.00 至 2.30）、饥饿（AOR：2.22，95%CI：1.40 至 3.51）、独居（AOR：1.61，95%CI：1.00 至 2.59）、对当前生活不满意（AOR：2.04，95%CI：1.09 至 3.81）、身体疼痛（AOR：2.39，95%CI：1.73 至 3.31）和失眠（AOR：1.69，95%CI：1.24 至 2.31）呈正相关，而工作（AOR：0.55，95%CI：0.37 至 0.80）呈负相关。此外，在男性中，年龄较大（80 岁及以上）（AOR：1.95，95%CI：1.06 至 3.58）、未满足的医疗需求（AOR：2.19，95%CI：1.07 至 4.47）和听力困难（AOR：2.41，95%CI：1.06 至 5.52）与较差的儿童健康状况（AOR：0.12，95%CI：0.04 至 0.36）呈正相关，而社会网络（AOR：0.94，95%CI：0.90 至 0.99）与较差的儿童健康状况呈负相关。在女性中，尿失禁（AOR：1.69，95%CI：1.03 至 2.77）与抑郁症状呈正相关。
参与本研究的三分之一老年人表现出抑郁症状。社会人口统计学因素、压力源和健康状况因素呈正相关，支持因素呈负相关。
