Depression and its associated factors among elderly patients attending rural primary health care setting

Thittamaranahalli Varadappa Sanjay; Poulose Puthussery Yannick; Muralidhar Madhusudan; Nugehally Raju Ramesh Masthi; Bllagumba Gangaboraiah

doi:10.18203/2394-6040.ijcmph20170275

Authors

Thittamaranahalli Varadappa Sanjay Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
Poulose Puthussery Yannick Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
Muralidhar Madhusudan Department of Community Medicine, DM Wayanad Institute of Medical Sciences, Meppad, Kerala, India
Nugehally Raju Ramesh Masthi Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India
Bllagumba Gangaboraiah Statistician, Department of Community Medicine, Kempegowda Institute of Medical Sciences, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170275

Keywords:

Depression, Elderly, Housing, Primary health care

Abstract

Background: Depression is a growing public health challenge in India due to increase in the population of elderly and drastic changes in the socio-cultural environment. There is a dearth of information regarding depression among elderly patients attending primary health care setting in rural India. Hence present study was undertaken.

Methods:Data was collected from seventy five elderly patients attending a preventive geriatric clinic in a rural health training centre with the help of pre-tested, semi-structured questionnaire by employing interviewer administered method. In the clinic, elderly patients were screened for cognitive impairment by using translated version of abbreviated mental test (AMT) scale. Data on socio-demographic characteristics were collected. Anthropometric measurements such as standing height, weight and waist circumference were taken as per standard guidelines. Depression was assessed by validated geriatric depression scale (GDS-15) (Kannada version). Subsequently, the standard of living index and housing conditions were assessed by visiting the houses of the elderly patients.

Results: The proportion of depression among elderly was found to be 32%. Depression was found to be statistically associated with illiteracy (P<0.05, OR=4.6) and lack of separate living room in the house (P= 0.01, OR= 3.5) and not associated with obesity.

Conclusions:Around one third elderly patients attending the primary health care setting were found to be suffering from depression. The illiteracy and lack of separate living room for elderly in the house were associated with depression, which call for further in-depth research.

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References

Singh A, Purohit BM. Addressing geriatric oral health concerns through national oral health policy in India. Int J Health Policy Manag. 2015;4:39-42.

Pilania M, Bairwa M, Kumar N, Khanna P, Kurana H. Elderly depression in India: an emerging public health challenge. Australas Med J. 2013;6(3):107-11.

Sanchetee P. Textbook of geriatric medicine. 1st ed. Hyderabad: Paras Medical Publishers; 2014.

Grover S, Malhotra N. Depression in elderly: a review of indent research. J Geriatr Ment Health. 2015;2:4-15.

Sidik MS, Zulkefli M, Afiah N, Shah SA. Factors associated with depression among elderly patients in a primary health care clinic in Malaysia. Asia Pac Fam Med 2003;2(3):148-52.

Williams SL, Haskard KB, Di Matteo MR. The therapeutic effects of the physician-older patient relationship: Effective communication with vulnerable older patients. Clin Interv Aging. 2007;2(3):453-67.

Bonnefoy X. Inadequate housing and health: an overview. Int J Env Pol. 2007;30(3/4):411-29.

Sandhya GI. Geriatric depression and related factors - a cross sectional study from a rural community in South Kerala. J Ind Acad Geriatr. 2010;6:61-3.

Kumar NP, Shinge N, Parameshwar S. Bed blockers: A study on the elderly patients in a teaching hospital in India. J Health allied Sci. 2010;9(1):1-4.

World Health Organization. The Asia-Pacific Perspective: redefining obesity and its treatment. The Lancet. 2004;363:157-63.

Wasir JS, Misra A, Vikram NK, Pandey RM, Gupta R. Comparison of definitions of the metabolic syndrome in adult Asian Indians. J Assoc Physic Ind. 2008;56:158-64.

Rajgopal J. Depression among elderly in the urban field practice area of Kempegowda Institute of Medical Sciences, Bangalore [Dissertation]. Bangalore: Rajiv Gandhi University of Health Sciences, Karnataka; 2012.

Ministry of Health and Family Welfare. Household – population and housing characteristics, NFHS – III. New Delhi: Government of India; 2006.

Park K. Text book of preventive and social medicine. 23rd edition. Jabalpur (India): Banarsidas Bhanot publishers; 2015.

Sathyanath SM, Kundapur R, Bhat SU, Kiran NU. Proportion of depression among the elderly population in a rural health care setting. J Clin Diag Res. 2014;8(1):137-9.

Bodhare TN, Kaushal V, Venkatesh K, Anil Kumar M. Prevalence and risk factors of depression among elderly population in a rural area. Perspectives in medical research. 2013;1:11-5.

Stanley P. Risk factors for depressive illness among elderly Gopd attendees at Upth. IOSR J of Dent and Med Sci. 2013;5(2):77-86.

Mezuk B, Golden SH, Eaton WW, Lee HB. Depression and body composition among older adults. Aging Ment Health. 2012;16:167-72.

Liebert MA, Olson WJ, Mcclure H, Gildner TE, Naidoo N, Kowal P. Examining links between depression and body composition among older adults: Results from the World Health Organization’s Study on global AGEing and adult health (SAGE) Wave 1. WHO, Geneva, Switzerland, 2014.

Ariyo A. Depressive symptoms and risks of coronary heart disease and mortality in elderly Americans. Circulation 2000;102:1773-9.

Choi NG, Ransom S, Wyllie RJ. Depression in older nursing home residents: The influence of nursing home environmental stressors, coping and acceptance of group and individual therapy. Aging Ment Health. 2008;12(5):536-47.

Brahmbhatt KR, D’Souza O, Yalaburgi KS, Hameed S, Jayaram S, Kurulkar PV. Depression Screening and Study of Associated Factors among Elderly South Indian Patients in a Primary Care Setting. Int J Med Health Sci. 2014;3(3):153-7.

Habib F. Incidence of Depression among Elderly Attending Primary Health Care Centers. Bah Med Bull. 2009;31(4):1-7.

Nizamie HS, Goyal N. National mental health programme: a reappraisal. Ind J of Soc Psy. 2010;26(3-4):79-83.