Depression in left‐behind elderly in rural <scp>C</scp>hina: Prevalence and associated factors

He, Guoping; Xie, Jianfei; Zhou, Jianda; Zhong, Zhuqing; Qin, Chunxiang; Ding, Siqing

doi:10.1111/ggi.12518

Cited by 82 publications

(80 citation statements)

References 15 publications

(23 reference statements)

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“…The rate (57.4%) of DS of elderly caregivers (age ≥60 years) also was higher than that of other studies among the elderly in China (He et al., ; Xu et al., ). In rural China, grandparents take over the responsibility for parenting when both parents migrate to urban areas.…”

Section: Discussioncontrasting

confidence: 55%

“…Mothers had a lower rate (37.5%) of depressive symptoms compared with fathers and grandparents, but it was still much higher than that of previous studies conducted among mothers with young children (Chang et al, 2014, Horwitz, Briggs-Gowan, Storfer-Isser, & Carter, 2007. The rate (57.4%) of DS of elderly caregivers (age ࣙ60 years) also was higher than that of other studies among the elderly in China (He et al, 2016;Xu et al, 2016). In rural China, grandparents take over the responsibility for parenting when both parents migrate to urban areas.…”

Section: Ds Of Caregivermentioning

confidence: 60%

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Caregiver's Depressive Symptoms and Young Children's Socioemotional Development Delays: A Cross‐sectional Study in Poor Rural Areas of China

Wei

Zhang

et al. 2018

Infant Mental Health Journal

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Poverty and its associated factors put people at risk for depression. The aims of this study were to describe the prevalence of depressive symptoms (DS) of primary caregivers and socioemotional development (SED) delays of young children in poor rural areas of China, and to explore the association between them. Cross-sectional data of 2,664 children aged 3 to 35 months and their primary caregivers were used for analysis. Characteristics of the child, caregiver, and family were collected through face-to-face caregiver interviews. DS were assessed by the Zung Self-Rating Depression Scale (W.W. Zung, 1965, as cited in World Health Organization, ), and SED was evaluated by the Ages and Stage Questionnaires: Social-Emotional (J. Squires, D. Bricker, & L. Potter, 1997). The χ test, stratification analysis, and logistic regression analyses were used to explore the association. Among the caregivers, 40.3% (95% confidence interval [CI] [38.4, 42.1]), reported DS. Caregivers who were male, older and ethnic minorities as well as had a low level of education, a low family income, or more children were more likely to have DS. Of the children, 24.4% (95% CI [22.8, 26.0]) were recognized with SED delays. Older children displayed more delays than did younger children, but no significant differences between males and females were found. SED delays were significantly associated with mother outmigrating, male caregivers, older age, ethnic minorities, and low education or families with a single parent, low-income, and having more children. Caregivers having DS, odds ratio (OR) = 2.40, 95% CI [1.99, 2.88], was a significant predictor of increased odds of SED delays; other factors were single-parent family, OR = 1.99, 95% CI [1.37, 2.89], inadequate care, OR = 1.69, 95% CI [1.30, 2.21], physical punishment, OR = 1.61, 95% CI [1.33, 1.95], ethnic minorities, OR = 1.41, 95% CI [1.17, 1.71], and child age in months, OR = 1.03, 95% CI [1.02, 1.04], according to the logistic regression analysis. DS are prevalent among caregivers with young children in poor rural areas. Interventions to improve the mental health of caregivers and their parenting behaviors are needed to improve children's SED.

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Section: Discussioncontrasting

confidence: 55%

Section: Ds Of Caregivermentioning

confidence: 60%

Caregiver's Depressive Symptoms and Young Children's Socioemotional Development Delays: A Cross‐sectional Study in Poor Rural Areas of China

Wei

Zhang

et al. 2018

Infant Mental Health Journal

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“…In our study is shown that older women were more likely to suffer from depression than men. This finding is in accordance with the results of the previous studies in the field 2,28,29 . Quite contrary, Baiyewu et al found no differences between the opposite sexes 27 .…”

Section: Discussionsupporting

confidence: 94%

Prevalence of depression in elderly and relations to chronic diseases

Gajović¹,

Kocić

Radovanovic

et al. 2021

VOJNOSANIT PREGL

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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...

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“…A study in China also showed that the overall prevalence of depression in the older adult was 36.9%, and reported that the prevalence of symptoms was higher in women 50.4% as compared to men 33.3%. In general, the prevalence of moderate to severe depression was 3.9% in their study [28]. The prevalence of mildmoderate depression and mild-severe depression was reported to be 27, and 12% in a study in Greek, respectively [29].…”

Section: Discussionmentioning

confidence: 81%

The prevalence of severe depression in Iranian older adult: a meta-analysis and meta-regression

et al. 2020

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Background: Depression is one of the most common psychiatric disorders in the older adult and one of the most common risk factors for suicide in the older adult. Studies show different and inconsistent prevalence rates in Iran. This study aims to determine the prevalence of severe depression in Iranian older adult through a meta-analysis approach. Methods: The present meta-analysis was conducted between January 2000-August 2019. Articles related to the subject matter were obtained by searching Scopus, Sciencedirect, SID, magiran, Barakat Knowledge Network System, Medline (PubMed), and Google Scholar databases. The heterogeneity of the studies was evaluated using I 2 index and the data were analyzed in Comprehensive Meta-Analysis software. Results: In a study of 3948 individuals aged 50-90 years, the overall prevalence of severe depression in Iranian older adult was 8.2% (95% CI, 4.14-6.3%) based on meta-analysis. Also, in order to investigate the effects of potential factors (sample size and year of study) on the heterogeneity of severe depression in Iranian older adult, meta-regression was used. It was reported that the prevalence of severe depression in Iranian older adult decreased with increasing sample size and increasing years of the study, which is significantly different (P < 0.05). Conclusion: Considering the high prevalence of severe depression in Iranian older adult, it is necessary for health policy makers to take effective control measures and periodic care for the older adult.

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Depression in left‐behind elderly in rural China: Prevalence and associated factors

Abstract: The prevalence of depressive symptoms is higher in left-behind elderly in rural areas than in the general elderly population. Psychological intervention is necessary for improving the mental health of elderly people living in rural areas of China. Geriatr Gerontol Int 2016; 16: 638-643.

Cited by 82 publications

References 15 publications

Caregiver's Depressive Symptoms and Young Children's Socioemotional Development Delays: A Cross‐sectional Study in Poor Rural Areas of China

Caregiver's Depressive Symptoms and Young Children's Socioemotional Development Delays: A Cross‐sectional Study in Poor Rural Areas of China

Prevalence of depression in elderly and relations to chronic diseases

The prevalence of severe depression in Iranian older adult: a meta-analysis and meta-regression

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