Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator

Hossain, Babul; Yadav, Pawan Kumar; Nagargoje, Varsha P.; Joseph, K J Vinod

doi:10.1186/s12888-021-03587-3

Cited by 33 publications

(30 citation statements)

References 53 publications

(48 reference statements)

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“…A community level study on primary care population in India estimated high prevalence of multimorbidity among older adults, women and individuals of high socioeconomic status, and significant gender differences in prevalence of multimorbidity have been reported [ 42 , 43 ]. While a study by Hossain et al (2021) have explored the association between physical limitations and self-reported depressive symptoms among Indian older adults considering marital status as a moderator in such association [ 44 ]. However, despite the fact that there is an increased chance of depression in older persons as the number of chronic illnesses or multimorbidity grows, the underlying route or mechanism explaining the multimorbidity-depression association remains unexplained in the Indian context.…”

Section: Introductionmentioning

confidence: 99%

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

2022

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Researchers have long been concerned about the association between depression and the prevalence of multiple chronic diseases or multimorbidity in older persons. However, the underlying pathway or mechanism in the multimorbidity-depression relationship is still unknown. Data were extracted from a baseline survey of the Longitudinal Ageing Survey of India (LASI) conducted during 2017–18 (N = 31,464; aged ≥ 60 years). Depression was assessed using the 10-item Centre for Epidemiological Studies Depression Scale (CES-D-10). Multivariable logistic regression was used to examine the association. The Karlson–Holm–Breen (KHB) method was adopted for mediation analysis. The prevalence of depression among older adults was nearly 29% (men: 26% and women 31%). Unadjusted and adjusted estimates in binary logistic regression models suggested an association between multimorbidity and depression (UOR = 1.28; 95% CIs 1.27–1.44 and AOR = 1.12; 95% CIs 1.12–1.45). The association was particularly slightly strong in the older men. In addition, the association was mediated by functional health such as Self Rated Health (SRH) (proportion mediated: 40%), poor sleep (35.15%), IADL disability (22.65%), ADL disability (21.49%), pain (7.92%) and by behavioral health such as physical inactivity (2.28%). However, the mediating proportion was higher among older women as compared to older men. Physical inactivity was not found to be significant mediator for older women. The findings of this population-based study revealed that older people with multimorbidity are more likely to suffer depressive symptoms in older ages, suggesting the need for more chronic disease management and research. Multimorbidity and depression may be mediated by certain functional health factors, especially in older women. Further longitudinal research is needed to better understand the underlying mechanisms of this association so that future preventive initiatives may be properly guided.

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Section: Introductionmentioning

confidence: 99%

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

2022

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“…Marriage, it is assumed, strengthens social support, and wealth and prevents risky behaviour, leading to improved health. As a result, several studies have also reported that married people have lower mortality rates [ 11 , 12 ], longer life expectancy [ 13 , 14 ], fewer physical health problems [ 15 , 16 ], are protected from life stresses and depression [ 17 , 18 ], and shorter hospital stays, lower chance of nursing home admission as well as better quality health care use [ 19 – 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…In India, where male dominance continues to exist, the culture is highly normative, patrilineal, and patriarchal [ 47 – 49 ]. Previous research has demonstrated that gender inequalities in marriage and health outcomes strongly persist [ 18 , 20 , 50 – 53 ]. At the same time, several studies have focused on self-reported health and marital status in India.…”

Section: Introductionmentioning

confidence: 99%

Association between poor self-reported health and unmarried status among adults: examining the hypothesis of marriage protection and marriage selection in the Indian context

Hossain

James

2022

BMC Public Health

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Background The link between marital status and health differences has long been a topic of debate. The substantial research on marriage and health has been conducted under two important hypotheses: marital protection and marriage selection. While the majority of evidence on the marriage-health relationship using these hypotheses comes from developed countries, there is a lack of evidence from Asia, particularly from India. Objectives The current study examines theoretical frameworks of marriage i.e., marital protection and marriage selection in the Indian setting concurrently, bringing substantial empirical evidence to explore the link between marriage and health, considering this subject in the context of self-reported health (SRH). Secondly, this study will aid in investigating age and gender differences in marriage and health. Methods Using the Study on Global AGEing and Adult Health (SAGE), a cohort study of individuals aged 50 years and older with a small section of individuals aged 18 to 49 for comparative reasons, the present study population was 25 years and above individuals with complete marital information. Logistic regressions were employed to explore the connection between marital status and self-reported health. In the marriage protection hypothesis, the follow-up poor SRH was the dependent variable, whereas the initial unmarried status was the independent variable. For the marriage selection effects, initial poor SRH as the independent variable and follow-up unmarried status as the dependent variable had considered. Results Examining the marital protection hypothesis, the initial unmarried status (OR: 2.14; CI at 95%: 1.17, 3.92) was associated with the followed-up SRH transition from good to poor between 2007 and 2015 for young men, while initial unmarried status was linked with a lower likelihood of stable good SRH and a higher likelihood of stable poor SRH status across all age categories among women. Focusing on the marriage selection hypothesis, among young men, a significant association exists between the initial poor SRH and departure in marital status from married to unmarried. Young women with initial poor SRH (OR: 0.68; CI at 95%: 0.40, 1.00) had lower odds of stable married. In comparison, women with initially poor SRH, irrespective of age, were more likely to have higher odds of being stably unmarried. Conclusion Marriage indeed protects health. There are also shreds of evidence on health-selected marital status in India. Taken together, the aspect of marital protection or marriage selection is gender and age-specific in India. The findings contribute to a more comprehensive understanding of the relationship between marriage and health, which may have significant implications for health-related public policies aimed at unmarried women.

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“…In older adult, the spouse helps their spouse with physical limitations and provides the most of the assistance and care [ 81 ]. With the help of their wives, married men with functional limitations saw a decrease in their depressive symptoms, but the relationship was lost for women [ 82 ]. The unmarried elderly typically experience longer periods of loneliness and lack of social support, which makes them more prone to depression [ 83 ].…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review on Biopsychosocial Predictors of Mental Health among Older Adults

Murniati

Aufa

Kusuma

et al. 2022

IJERPH

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This review aims to map the available evidence on biopsychosocial predictors of elderly mental health. The articles were independently screened in three selected databases, namely Pubmed, Proquest and Google Scholar. The stages consist of identifying the research questions, seeking and selecting relevant evidence, mapping data, and concluding and reporting results. The PRISMA flowchart was used to show the PEOS evidence search flow. A total of 23,722 articles were obtained from all databases during the initial search, where 458 titles fulfilled the eligibility criteria at the title screening stage. Furthermore, 383 articles passed through abstract screening, where 75 met the inclusion criteria and were included for full-text screening. Based on the full-text screening stage, 28 articles were excluded and the remaining 47 articles that matched the search process were included for data extraction. This review creates biopsychosocial variables related to the mental health of the elderly. The biological factors consist of age, biomarkers, female, health conditions, chronic diseases, and physical function. Variables related to psychological factors are affect, personality traits, and subjective well-being. Meanwhile, social factors include smoking, sleep quality, physical activity, daily living, social support, marital status, loneliness, religiosity, spirituality, and early life conditions.

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Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator

Cited by 33 publications

References 53 publications

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

Multimorbidity and depression among older adults in India: Mediating role of functional and behavioural health

Association between poor self-reported health and unmarried status among adults: examining the hypothesis of marriage protection and marriage selection in the Indian context

A Scoping Review on Biopsychosocial Predictors of Mental Health among Older Adults

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