- Title
- Co-occurrence of depression with chronic diseases among the older population living in low- and middle-income countries: a compound health challenge
- Creator
- Lotfaliany, Mojtaba; Agustini, Bruno; Kowal, Paul; Berk, Michael; Mohebbi, Mohammadreza
- Relation
- Annals of Clinical Psychiatry Vol. 31, Issue 2, p. 95-105
- Relation
- https://pubmed-ncbi-nlm-nih-gov.ezproxy.newcastle.edu.au/31046030/
- Publisher
- Frontline Medical Communications
- Resource Type
- journal article
- Date
- 2019
- Description
- Background: Few studies have examined the associations between mental and physical health conditions in low- and middle-income countries (LMICs). The aim of this study was to evaluate comorbidity of depression and other chronic diseases in community-dwelling older adults. Methods: Data were obtained from the World Health Organization Study on global AGEing and adult health (SAGE) implemented in 6 LMICs: China, Ghana, India, Mexico, the Russian Federation, and South Africa. A total of 33,508 participants age ≥50 were included in this analysis. Demographics, socioeconomic status, anthropometrics, depression, and chronic diseases status were collected using well-validated instruments in all countries. Multivariate analyses were used to examine the association between depression and comorbid conditions. Results: Type 2 diabetes mellitus (odds ratio: 1.39 [95% confidence interval: 1.15, 1.68]), arthritis (1.82 [1.52, 2.18]), asthma (3.20 [2.56, 4.00]), chronic lung disease (3.77 [3.08, 4.62]), angina (2.48 [2.01, 3.05]), and stroke (2.74 [2.18, 3.45]) were positively associated with depression prevalence (all P < .001). Conclusions: Noting the strong association between depression and other chronic diseases in our sample of older adults from 6 LMICs, additional vigilance and screening through informal and formal health care systems would help to decrease the impact of comorbidity on the health and well-being of older populations.
- Subject
- depression; chronic diseases; older people; low-income; middle-income; community dwelling; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1448518
- Identifier
- uon:43425
- Identifier
- ISSN:1040-1237
- Language
- eng
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