Background/Aim. Depression is the most prevalent mental disorder which affects approximately 7% of the world"s older population. This study aims at examining the prevalence of depression among older adults and its relations to chronic illnesses.Methods. This study was conducted within the National Health Survey of the Serbian population in 2013. The questionnaires used as instruments in this study were created in accordance with the questionnaires of the European Health Interview Survey -Second Wave. PHQ-8 questionnaire was used here to evaluate the presence of depressive symptoms. The relations between depression symptoms (a dependent variable) and a set of independent variables were examined with univariate and multivariate logistic regression analyses. Results. The study shows that there is a 10.0% prevalence of depression within this population with statistically significant differences between the genders -12.6% of women and 6.5% in men. The multivariate analysis reveals that multimorbidity (OR=1.89), chronic pain (OR=2.35) and self-evaluations of poor health (OR=8.37) are strongly associated to depression. In terms of individual chronic illnesses, the study shows that strokes double the odds of developing depression (OR=1.82) while the deformities of lower spine increase the occurrence of depressive symptoms by 27%. Conclusion. Depression is very frequent in older persons who suffer from chronic diseases and medical conditions. It is crucial to enable adequate screening in primary healthcare institutions in order to diagnose depression in its early stages and start its treatment as soon as possible. Apstrakt Uvod/Cilj. Depresija je najčešci mentalni poremećaj koji pogađa oko 7% starije svetske populacije. Cilj ovog istraživanja je utvrđivanje prevalencije depresije u starijoj populaciji i njene povezanosti sa hroničnim oboljenjima. Metode. Istraživanje je sprovedeno u okviru nacionalne studije "Istraživanje zdravlja stanovništva Srbije" 2013. godine. Kao istrument istraživanja korisćeni su upitnici kreirani u skladu sa upitnicima 4 Evropskog istraživanja zdravlja -drugi talas. Za procenu prisustva simptoma depresije korišćen je PHQ-8 upitnik. Povezanost prisustva depresivnih simptoma (zavisna varijabla) i skupa nezavisnih varijabli ispitana je univarijantnom i multivarijantnom logističkom regresijom. Rezultati. Rezultati ukazuju na stopu prevalencije depresije od 10.0% sa statistički značajnim razlikama među polovima -12,6% kod žena i 6,5% kod muškaraca. Multivarijantna analiza pokazuje da postoje jake veze između depresije i multimorbiditeta (OR=1.89), hroničnog bola (OR=2.35) i samoprocena lošeg zdravlja (OR=8.37). Što se tiče pojedinačnih oboljenja, studija je pokazala da moždani udari dvostruko povećavaju šanse za pojavu depresije (OR=1.82), dok prisustvo deformiteta donje kičme te šanse povećava za 27%. Zaključak. Depresija je veoma česta kod starijih osoba koje pate od hroničnih bolesti i stanja. Кljučno je omogućiti adekvatan skrining u ustanovama primarne zdravstvene zaštite kako bi se depresija dij...
Social factors such as social support, integration, and belonging to the community are positive resources against adverse events and living conditions. This study at examining the influence of social support on depression among elderly people in Serbia. The research was done according to the type of cross-sectional study, a mass survey of a random, representative stratified two-stage sample of the population of Serbia in 2013, which was conducted by the Ministry of Health of the Republic of Serbia. The target population consisted of 3540 respondents aged 65 and over. The Patient Health Questionnaire-8 (PHQ-8) was used to evaluate the presence of depressive symptoms and the social support score from the questionnaire Oslo-3 scale of social support. The relations between depression symptoms and social support were examined with univariate logistic regression analyses. In the univariate regression model, social support stood out as a strong predictor of depression. People with weak social support are three and a half times more likely (OR = 3.45) to have depression compared to those with strong social support. Men with small social support were more likely to have depression (OR = 5.08) than women (OR = 3.41). These results indicate the urgency of addressing depression as a public health priority to reduce the burden and disability and improve the overall health of the elderly population.
The aim of the analysis of the health status of women in Shumadia district to identify priority health problems. As data sources are reports about diseases, conditions and injuries Health Services Women's health centers Shumadians district, for the period 1999-2008. years. The population of women with Sumadija districts, growth rates of morbidity in the period from 260 to 423 per 1000 women. In the morbidity structure is dominated by diseases of the genitourinary genitourinary system, representing 63,9% in the last year of observation. In the second place, there are factors that influence contact with health service, following pregnancy, childbirth and puerperium, infectious and parasitic diseases and tumors. The death rate from all causes of death increase in the period from 1325 to 1401 per 100000 women. Maternal mortality and mortality of women in relation to diseases and conditions in pregnancy, at delivery and six weeks after delivery was noted only in 2003. years (32,8 deaths per 100000 livebirths).
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