Relation of depression with health behaviors and social conditions of dependent community-dwelling older persons in the Republic of Chile
Relation of depression with health behaviors and social conditions of dependent community-dwelling older persons in the Republic of Chile
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DOI：
10.1017/s1041610216001228
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发表时间：
2016-12-01
影响因子：
7
通讯作者：
Noguchi, Haruko
中科院分区：
文献类型：
--
作者：
Garrido, Felipe Alfonso Sandoval;Tamiya, Nanako;Noguchi, Haruko
背景：抑郁症状是残疾和情感痛苦的主要原因，特别是在老年。然而，发展中国家抑郁症和老年的证据在很大程度上仍然被忽视。本研究的目的是探讨健康行为和社会条件与抑郁症之间的关系依赖社区居住的老年人在Republic of Chile.Methods：这是一个横截面和推理研究，使用全国代表性的二手数据。两个模型对来自智利各地的640名依赖社区居住的老年人进行了逻辑回归，他们亲自回答了抑郁症评估，不包括服用抗抑郁药的人。结果采用老年抑郁量表（GDS-15）。第一个模型针对任何类型的抑郁症（GDS 5>）。第二种针对严重抑郁症（GDS 10>）。作为暴露，我们使用了老年人的健康行为和社会条件。结果：44.5%的老年人有抑郁症状。其中，11%的人患有严重的抑郁症。Logistic回归分析显示，两种模式中抑郁的显著危险因素是因急性疾病就诊5次以上、对生活安排感到不舒服、感觉受歧视。另一方面，每增加一天的体育锻炼和独居有一个有益的和有害的影响，只有在model1.Conclusion：分析的方式，以支持独居老人和促进体育锻炼，以避免抑郁症是必要的，沿着更深入地了解他们的生活安排的舒适度。最后，应进一步探讨解决老年人之间歧视问题的方法。
Background: Depressive symptoms are a leading cause of disability and emotional suffering, particularly in old age. However, evidence on depression and old age in developing countries remains largely ignored. The aim of this study was to examine the relation between health behavior and social conditions with depression among dependent community-dwelling older persons in the Republic of Chile.Methods: This is a cross-sectional and inferential study, using nationally representative secondary data. Two models used logistic regression on 640 dependent community-dwelling older persons from all over Chile, who personally answered a depression assessment, excluding those taking antidepressants. The geriatric depression scale (GDS-15) was used as outcome. The first model aims at any kind of depression (GDS 5>). The second aims at severe depression (GDS 10>). As exposure, we used the health behavior and social conditions of the older persons. Socio-demographic and physical conditions were used as adjustment.Results: 44.5% of the older persons presented depressive symptoms. Among them, 11% had severe depression. Logistic regression showed that significant detrimental factors for being depressed in both models were visiting the doctor five times or over because of acute diseases, feeling uncomfortable with their living arrangement, and feeling discriminated. On the other hand, every additional day of physical exercise and living alone had a beneficial and detrimental effect only in model one.Conclusion: Analyses on ways to support older persons living alone and the promotion of physical exercise to avoid depression are needed, along with a deeper understanding of the comfort with their living arrangement. Finally, ways to address the discrimination among older persons should be further explored.