The Prevalence and Determinant Factors of Self-Reported Depressive Symptoms Among Elderly People with Visual Impairment Attending an Outpatient Clinic in Ethiopia.

Journal: Clinical optometry

Volume: 13

Issue: 

Year of Publication: 

Affiliated Institutions:  Mental Health Unit, Eka Kotebie Referral Hospital, Addis Ababa, Ethiopia. Mental Health Unit, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Depression among older adults with visual impairment is the commonest psychiatric problem and causes a range of effects in on disability and progression of visual health outcomes that may even end in death. In Ethiopia, there are gaps in the detection of the comorbidity of mental health problems especially depressive symptoms among those older people. This study aimed to assess the prevalence of self-reported depressive symptoms and determinant factors among the elderly people with visual impairment attending the ophthalmologic outpatient clinic.A group of 423 elderly people with visual impairment invited by systematic random sampling technique to took part in the interview for this cross-sectional study at Menelik II referral hospital, Addis Ababa, Ethiopia from January to June 2019. Descriptive statistics like frequency, percentage, mean and standard deviation were used to summarize the distribution of the data. Binary logistic regression analysis was employed to examine the associated factors. An adjusted odds ratio with a 95% confidence interval was used for reporting the result, and a p-value of <0.05 was considered as statistically significant.The prevalence of self-reported depressive symptoms among elderly people with visual impairment was 26.7% with a 95% confidence interval (22.6-30.8). Widowhood, single and/divorced [Adjusted Odds Ratio (AOR)= 3.17, 95% CI: 1.71, 5.91]; [AOR=2.70, 95% CI: 1.35, 5.38], respectively, poor social support [AOR=4.34, 95% CI: 1.84, 10.24], severe level [AOR=2.63, 95% CI: 1.73, 6.63] and longer duration (>5 years) of the illness [AOR=3.15, 95% CI: 1.60, 6.19] were the factors significantly associated with higher odds of depressive symptoms.The Prevalence of self-reported depressive symptoms among elderly people with visual impairment in Ethiopia was high. Public health interventions targeting risky individuals with high depressive symptoms are needed to reduce depressive symptoms and to prevent disability and poor medical illnesses outcomes related to depressive symptoms.

Authors & Co-authors:  Yimer Yassin Mohammed YM Buli Mengistu Bekele MB Nenko Goshu G Mirkena Yohannes Y Kassew Tilahun T

Study Outcome 

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Statistics
Citations :  Organization WH. Prevention of Blindness and Visual Impairment. ICD Update and Revision Platform: Change the Definition of Blindness; 2011.
Authors :  5
Identifiers
Doi : 10.2147/OPTO.S294618
SSN : 1179-2752
Study Population
Male,Female
Mesh Terms
Other Terms
Ethiopia;depression;depressive symptoms;elderly;visual impairment
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
New Zealand