TY - JOUR
T1 - Depressive symptoms among older adults in Mexico City
AU - García-Peña, Carmen
AU - Wagner, Fernando A.
AU - Sánchez-Garcia, Sergio
AU - Juárez-Cedillo, Teresa
AU - Espinel-Bermúdez, Claudia
AU - García-Gonzalez, José Juan
AU - Gallegos-Carrillo, Katia
AU - Franco-Marina, Francisco
AU - Gallo, Joseph J.
N1 - Funding Information:
Dr. Wagner was funded through grant DA 17796 from the National Institute on Drug Abuse and P60-MD002217 from the National Center on Minority Health and Health Disparities.
Funding Information:
Acknowledgements: This project was supported by grants from CONACyT (México) 2002-CO1-6868, Mexican Institute of Social Security (IMSS 2002-382), and NIH-FIRCA R03 TW005888.
PY - 2008/12
Y1 - 2008/12
N2 - BACKGROUND: Ageing and depression are associated with disability and have significant consequences for health systems in many other developing countries. Depression prevalence figures among the elderly are scarce in developing countries. OBJECTIVE: To estimate the prevalence of depressive symptoms and their cross-sectional association with selected covariates in a community sample of Mexico City older adults affiliated to the main healthcare provider. DESIGN: Cross-sectional, multistage community survey. PARTICIPANTS: A total of 7,449 persons aged 60 years and older. MEASUREMENTS: Depression was assessed using the 30-item Geriatric Depression Scale (GDS); cognitive impairment, using the Mini-Mental State Examination; and health-related quality of life with the SF-36 questionnaire. MAIN RESULTS: The prevalence of significant depressive symptoms was estimated to be 21.7%, and 25.3% in those aged 80 and older. After correcting for GDS sensitivity and specificity, major depression prevalence was estimated at 13.2%. Comparisons that follow are adjusted for age, sex, education and stressful life events. The prevalence of cognitive impairment was estimated to be 18.9% in depressed elderly and 13.7% in non-depressed. SF-36 overall scores were 48.0 in depressed participants and 68.2 in non-depressed (adjusted mean difference=-20.2, 95% CI=-21.3, -19.1). Compared to non-depressed elderly, the odds of healthcare utilization were higher among those depressed, both for any health problem (aOR 1.4, 95% CI=1.1, 1.7) and for emotional problems (aOR 2.7, 95% CI=2.2, 3.2). CONCLUSIONS: According to GDS estimates, one of every eight Mexican older adults had major depressive symptoms. Detection and management of older patients with depression should be a high priority in developing countries.
AB - BACKGROUND: Ageing and depression are associated with disability and have significant consequences for health systems in many other developing countries. Depression prevalence figures among the elderly are scarce in developing countries. OBJECTIVE: To estimate the prevalence of depressive symptoms and their cross-sectional association with selected covariates in a community sample of Mexico City older adults affiliated to the main healthcare provider. DESIGN: Cross-sectional, multistage community survey. PARTICIPANTS: A total of 7,449 persons aged 60 years and older. MEASUREMENTS: Depression was assessed using the 30-item Geriatric Depression Scale (GDS); cognitive impairment, using the Mini-Mental State Examination; and health-related quality of life with the SF-36 questionnaire. MAIN RESULTS: The prevalence of significant depressive symptoms was estimated to be 21.7%, and 25.3% in those aged 80 and older. After correcting for GDS sensitivity and specificity, major depression prevalence was estimated at 13.2%. Comparisons that follow are adjusted for age, sex, education and stressful life events. The prevalence of cognitive impairment was estimated to be 18.9% in depressed elderly and 13.7% in non-depressed. SF-36 overall scores were 48.0 in depressed participants and 68.2 in non-depressed (adjusted mean difference=-20.2, 95% CI=-21.3, -19.1). Compared to non-depressed elderly, the odds of healthcare utilization were higher among those depressed, both for any health problem (aOR 1.4, 95% CI=1.1, 1.7) and for emotional problems (aOR 2.7, 95% CI=2.2, 3.2). CONCLUSIONS: According to GDS estimates, one of every eight Mexican older adults had major depressive symptoms. Detection and management of older patients with depression should be a high priority in developing countries.
KW - Aged
KW - Comorbidity
KW - Depression
KW - Primary healthcare
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U2 - 10.1007/s11606-008-0799-2
DO - 10.1007/s11606-008-0799-2
M3 - Article
C2 - 18818976
AN - SCOPUS:57249089080
SN - 0884-8734
VL - 23
SP - 1973
EP - 1980
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 12
ER -