Co-occurrence of depression with chronic diseases among the older population living in low- and middle-income countries: A compound health challenge.

Journal: Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists

Volume: 31

Issue: 2

Year of Publication: 2020

Affiliated Institutions:  Faculty of Health, Deakin University, Melbourne Campus at Burwood, Burwood, Australia. E-MAIL: m.mohebbi@deakin.edu.au.

Abstract summary 

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.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.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).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.

Authors & Co-authors:  Lotfaliany Mojtaba M Agustini Bruno B Kowal Paul P Berk Michael M Mohebbi Mohammadreza M

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 
SSN : 1547-3325
Study Population
Male,Female
Mesh Terms
Aged
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
United States