Study among geriatric people residing in urban and rural area and associated factor with depression in Nepal

Authors

  • Deepika Gaire Department of Public Health, LA GRANDEE International College, Pokhara University, Pokhara, Nepal http://orcid.org/0000-0003-2319-4701
  • Nand Ram Gahatraj Department of Public Health, LA GRANDEE International College, Pokhara University, Pokhara, Nepal Department of Public Health, School of Health and Allied Sciences, Pokhara University, Pokhara Nepal
  • Rajesh Kumar Yadav Birat Nepal Medical Trust Nepal, Kathmandu, Nepal Health Research Together Initiative (HeaRT: Initiative), Kathmandu, Nepal
  • Geeta Shah HOPE International College, Satdobato, Lalitpur, Nepal
  • Sushila Baral Health Research Together Initiative (HeaRT: Initiative), Kathmandu, Nepal Provincial Health Training Centre, Gandaki Province, Pokhara, Nepal

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213514

Keywords:

Depression, Geriatric, Kaski, Nepal

Abstract

Background: Depression is a common and major public health problem among geriatric people, but it is not a normal part of aging. It is not just a low mood or feeling sad, but a serious condition that needs treatment and has serious effects on physical as well as mental health. It is one of the hidden problems of the geriatric people.

Methods: A cross-sectional study was conducted among 196 elderly people from Kaski district of Nepal using geriatric depression scale to assess the level of depression. Wards of metropolitan was randomly selected and represented as urban area and ward of rural municipality were randomly selected and considered as rural areas. Data were collected by face-to-face interview among geriatric people. Data were analyzed by SPSS v.16 version. The appropriate statistical tests were applied based on the nature of the data, setting the level of significance at p<0.05.

Results: Out of total 196 study participants 101 were from urban area and 95 from rural area. The overall prevalence of depression was 55.1%. In this study geriatric depression was significantly associated with: spouse status, living arrangement, satisfaction with living condition, family support, family care, abuse, relationship with son, relationship with daughter in law, work, discrimination, social isolation and loneliness and health problems.

Conclusions: More than half of the elderly population had developed depressive symptoms. Immediate addressing of geriatric depression by providing health services, counseling and harmonious relationship among geriatric people and family members especially their son and daughter in law should be created by providing social support and counseling to family members.

Author Biography

Deepika Gaire, Department of Public Health, LA GRANDEE International College, Pokhara University, Pokhara, Nepal

Tuberculosis Program

References

WHO. Ageing and health. Ageing and Health. Available at: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed on cited 2021 May 14.

Natioanl Institute of Mental Health. Older Adults and Depression. Available at: https://www.nimh.nih.gov/health/publications/older-adults-and-depression/. Accessed on 2021 May 13.

Yasamy MT, Dua T, Harper M, Saxena S. Mental Health of Older Adults, Addressing A Growing Concern. WHO Geneva; Available at: https://www.who.int/mental_health/world-mental-health-day/WHO_paper_wmhd_2013.pdf. Accessed on 2021 May 13.

Nepal M. Status Report on Elderly People (60+) in Nepal on Health, Nutrition and Social Status Focusing on Research Needs. Ramshahpath, Kathmandu: Ministry of Health and Population; 2010. Available at: https://www.academia.edu/39059183/Status_Report_on_Elderly_People_60_in_Nepal. Accessed on 2021 May 13.

Goodwin GM. Depression and associated physical diseases and symptoms. Dialogues Clin Neurosci. 2006;8(2):259-65.

Alexopoulos G, Katz I, Reynolds C, Carpenter D, Docherty J, Ross R. Pharmacotherapy of depression in older patients: a summary of the expert consensus guidelines. J Psychiatric Practice. 2001;7(6):361-76.

Chapman DP, Perry GS. Depression as a major component of public health for older adults. Prev Chronic Dis. 2008;5(1):A22.

GoV N. National Population Census-2011. Kathmandu, Nepal: Natonal Planning Commisison; 2012. Available at: https://unstats.un.org/unsd/demographic/sources/census/wphc/Nepal/Nepal-Census-2011-Vol1.pdf. Accessed on 2021 May 13.

Huang F, Wang H, Wang Z, Zhang J, Du W, Jia X et al. Is geriatric depression scale a valid instrument to screen depression in Chinese community-dwelling elderly? BMC Geriatr. 2021;21(1):310.

Singh R, Singh B, Lall BS, Jain V. Psychosocial Problems: An Issue among the Elderly in Kathmandu, Nepal. Int J Health Sci. 2013;(6):6.

Thakur R, Banerjee A, Nikumb V. Health Problems Among the Elderly: A Cross-Sectional Study. Ann Med Health Sci Res. 2013;3(1):19-25.

Khattri JB, Nepal MK. Study of depression among geriatric population in Nepal. Nepal Med Coll J. 2006;8(4):220-3.

Chalise HN. Depression among elderly living in Briddashram (old age home). Adv Aging Res. 2014;3(1):6-11.

Subedi S, Shrestha P, Thapa DK. Study of Depression in Elderly: Prevalence and Factors Associated. Journal of Psychiatrists’ Association of Nepal. 2018;7(2):16-23.

Manandhar K, Risal A, Shrestha O, Manandhar N, Kunwar D, Koju R et al. Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey. BMC Psychiatry. 2019;19(1):271.

Ferreira PC, Tavares DM. Prevalence and factors associated with the rates of depression among elderly residents in rural areas. Rev Esc Enferm USP. 2013;47(2):401-7.

Sanjay TV, Jahnavi R, Gangaboraiah B, Lakshmi P, Jayanthi S. Prevalence and factors influencing depression among elderly living in the urban poor locality of Bengaluru city. Int J Health Allied Sci. 2014;3(2):105.

Timalsina R, Sherpa P, Dhakal D. Factors Associated with Depression among Elderly Living in Old Age Homes in Kathmandu Valley. Sanothimi, Bhaktapur, Nepal: University Grant Commission. 2013. Available at: http://library.nhrc.gov.np:8080/nhrc/bitstream/handle/123456789/523/696.pdf?sequence=1. Accessed on 2021 May 13.

Kim JI, Choe MA, Chae YR. Prevalence and Predictors of Geriatric Depression in Community-Dwelling Elderly. Asian Nursing Research. 2009;3(3):121-9.

Simkhada R, Wasti SP, GC VS, Lee ACK. Prevalence of depressive symptoms and its associated factors in older adults: a cross-sectional study in Kathmandu, Nepal. Aging Mental Health. 2018;22(6):802-7.

Dhungana AR. Factors Associated with Depression among Elderly People Living In Old Aged Homes of Pokhara, Nepal. J Health Allied Sci. 2020;10(1):8-12.

Pilania M, Yadav V, Bairwa M, Behera P, Gupta SD, Khurana H et al. Prevalence of depression among the elderly (60 years and above) population in India, 1997-2016: a systematic review and meta-analysis. BMC Public Health. 2019;19(1):832.

Das J, Farzana FD, Ferdous F, Ahmed S, Tegenfeldt S, Paul RC et al. Factors Associated with Elderly Depression among Rural Bangladeshi Individuals. Am J Psychiatry Neurosci. 2014;2(1):1.

Arumugam B, Nagalingam S, Nivetha R. Geriatric Depression among Rural and Urban Slum Community in Chennai-A Cross Sectional Study. JEMDS. 2013;2(7):795-801.

Mechakra-Tahiri S, Zunzunegui MV, Préville M, Dubé M. Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec. Int J Geriatr Psychiatry. 2009;24(11):1226-36.

Majdi MR, Mobarhan MG, Salek M, Taghi M, Mokhber N. Prevalence of Depression in an Elderly Population: A Population-Based Study in Iran. Iran J Psychiatry Behav Sci. 2011;5(1):25-32.

Taqui AM, Itrat A, Qidwai W, Qadri Z. Depression in the elderly: Does family system play a role? A cross-sectional study. BMC Psychiatry. 2007;7(1):57.

Sidik SM, Zulkefli NAM, Shah SA. Factors associated with depression among elderly patients in a primary health care clinic in Malaysia. Asia Pacific Family Med. 2003;2(3):148-52.

Ghimire H, Pokharel P, Shyangwa P, Baral D, Aryal A, Mishra A. Are Elderly People Living In Old-Age Home, Less Depressed Than Those Of Community? Findings From a Comparative Study. J Chitwan Med Coll. 2012;1(2):5-8.

Bhamani MA, Karim MS, Khan MM. Depression in the elderly in Karachi, Pakistan: a cross sectional study. BMC Psychiatry. 2013;13(1):181.

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Published

2021-08-27

How to Cite

Gaire, D., Gahatraj, N. R., Yadav, R. K., Shah, G., & Baral, S. (2021). Study among geriatric people residing in urban and rural area and associated factor with depression in Nepal. International Journal Of Community Medicine And Public Health, 8(9), 4167–4173. https://doi.org/10.18203/2394-6040.ijcmph20213514

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Original Research Articles