Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study

Abstract Background Older adults are at risk of chronic, silent depressive changes and the vulnerability of older adults in urban slums of India is rarely exposed. The objective of this study was to estimate the prevalence of depression among the older adults in the urban slums of India and to study...

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Main Authors: Mohan Kumar, Manisha Ruikar, V. L. Surya
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04402-2
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author Mohan Kumar
Manisha Ruikar
V. L. Surya
author_facet Mohan Kumar
Manisha Ruikar
V. L. Surya
author_sort Mohan Kumar
collection DOAJ
description Abstract Background Older adults are at risk of chronic, silent depressive changes and the vulnerability of older adults in urban slums of India is rarely exposed. The objective of this study was to estimate the prevalence of depression among the older adults in the urban slums of India and to study the factors associated with it. Methods This was a community based analytical cross-sectional study conducted in Urban Field Practice Area of a tertiary care teaching hospital in Chhattisgarh, India among older adults more than or equal to 60 years of age selected using two stage, simple random sampling. The data was collected in a sample of 400 older adults by face-to-face interview using self-designed, semi-structured and pretested proforma that included validated Hindi version of Geriatric Depression Scale (GDS-15) and analyzed using SPSS v23. Results The prevalence of depression among older adults was 51.5% in the present study; with 27%, 12.8% and 11.8% having mild, moderate and severe depression respectively. Number of family members, living status of spouse, emotional attachment to family members, conflict in family, loneliness, social isolation, marginal friendship ties, functional status, physical exercise, active complains and diastolic BP were independent predictors of depression in older adults. Conclusion Early identification of depression in older adults using GDS-15 and incorporation of social isolation and functionality assessment routinely by healthcare providers for all older adults attending the outpatient departments is the need of the hour. A holistic approach to care of older adults is vital as healthcare providers seek to understand the impact of multiple, complex, interconnected factors on overall health and well-being of older adults.
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spelling doaj.art-d7a6bfa1ab384ff9863c5f264fbb6e132023-11-05T12:29:00ZengBMCBMC Geriatrics1471-23182023-11-0123111110.1186/s12877-023-04402-2Depression among older adults in an urban slum of Raipur city – a community based cross-sectional studyMohan Kumar0Manisha Ruikar1V. L. Surya2Department of Community Medicine, KMCH Institute of Health Sciences and ResearchDepartment of Community and Family Medicine, All India Institute of Medical SciencesDepartment of Microbiology, Coimbatore Medical CollegeAbstract Background Older adults are at risk of chronic, silent depressive changes and the vulnerability of older adults in urban slums of India is rarely exposed. The objective of this study was to estimate the prevalence of depression among the older adults in the urban slums of India and to study the factors associated with it. Methods This was a community based analytical cross-sectional study conducted in Urban Field Practice Area of a tertiary care teaching hospital in Chhattisgarh, India among older adults more than or equal to 60 years of age selected using two stage, simple random sampling. The data was collected in a sample of 400 older adults by face-to-face interview using self-designed, semi-structured and pretested proforma that included validated Hindi version of Geriatric Depression Scale (GDS-15) and analyzed using SPSS v23. Results The prevalence of depression among older adults was 51.5% in the present study; with 27%, 12.8% and 11.8% having mild, moderate and severe depression respectively. Number of family members, living status of spouse, emotional attachment to family members, conflict in family, loneliness, social isolation, marginal friendship ties, functional status, physical exercise, active complains and diastolic BP were independent predictors of depression in older adults. Conclusion Early identification of depression in older adults using GDS-15 and incorporation of social isolation and functionality assessment routinely by healthcare providers for all older adults attending the outpatient departments is the need of the hour. A holistic approach to care of older adults is vital as healthcare providers seek to understand the impact of multiple, complex, interconnected factors on overall health and well-being of older adults.https://doi.org/10.1186/s12877-023-04402-2DepressionOlder adultsGeriatricPrevalenceDeterminantsIndia
spellingShingle Mohan Kumar
Manisha Ruikar
V. L. Surya
Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
BMC Geriatrics
Depression
Older adults
Geriatric
Prevalence
Determinants
India
title Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
title_full Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
title_fullStr Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
title_full_unstemmed Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
title_short Depression among older adults in an urban slum of Raipur city – a community based cross-sectional study
title_sort depression among older adults in an urban slum of raipur city a community based cross sectional study
topic Depression
Older adults
Geriatric
Prevalence
Determinants
India
url https://doi.org/10.1186/s12877-023-04402-2
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