Prevalence of Depression and Its Correlates in Hong Kong's Chinese Older Adults

Chi, Iris; Yip, Psf; Chiu, Helen F.K.; Chou, Kee Lee; Chan, Kalok; Kwan, Chi Wai; Conwell, Yeates; Caine, Eric D.

doi:10.1176/appi.ajgp.13.5.409

Cited by 88 publications

(76 citation statements)

References 28 publications

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“…In some local epidemiologic surveys (Woo et al, 1994;Chi et al, 2005;Chou and Chi, 2005) that defined clinically significant depressive symptoms as having score on Geriatric Depression Scale >/ ¼ 8, higher prevalence of clinically significant depressive symptoms was reported. All these studies adopted one-phase design without a second phase validation of depressive symptoms by psychiatrists or psychologists.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Chan

Lam

Tam

et al. 2007

Int J Geriat Psychiatry

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Section: Discussionmentioning

confidence: 99%

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Chan

Lam

Tam

et al. 2007

Int J Geriat Psychiatry

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“…The WHO (2005) [1] also emphasizes that depression, which is the fourth most common illness, can lead to physical, emotional, social and economic problems. The prevalence rate of depression varies worldwide and their prevalence rates range between 10 and 55% [2][3][4][5][6]. Depression in late life is associated with significant morbidity, including deficits in a range of cognitive functions and considerable influence on functional impairment, disability [7], decreased quality of life, and has a negative effect on the body's recovery from illness, increases the rate of suicide, increases use of health care services and expenses [8][9][10], and can result in early death and disturbance in the general state of wellness [8,9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Depression among Nepalese Rai Older Adults

Chalise¹,

Laxmi²

2013

J Gerontol Geriatric Res

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“…Lifestyle may also play a role: both past and current smoking have been associated with greater odds of depression , and so have physical inactivity (Kritz-Silverstein et al, 2001;Strawbridge et al, 2002), obesity (Almeida et al, 2009a) and heavy alcohol use (Bolton et al, 2009;Hamalainen et al, 2001). Other factors that have been consistently associated with depression in later life include loneliness (Cohen, 2000;Stek et al, 2005), poor social support (Bruce, 2002;Beard et al, 2008), financial hardship (Chi et al, 2005;Samuelsson et al, 2005) and poor physical health (Koster et al, 2006), falls and others (Alexopoulos et al, 1997;Soares et al, 2001;Almeida et al, 2003;2008a;2008b;2009b). Such a multitude of associations offers many opportunities , but exposes at the same time the difficulties that we face when attempting to develop a coherent approach to treat and prevent depression in later life.…”

Section: Introductionmentioning

confidence: 99%

A practical approach to assess depression risk and to guide risk reduction strategies in later life

Almeida

Alfonso

Pirkis

et al. 2010

Int. Psychogeriatr.

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Background:Many factors have been associated with the onset and maintenance of depressive symptoms in later life, although this knowledge is yet to be translated into significant health gains for the population. This study gathered information about common modifiable and non-modifiable risk factors for depression with the aim of developing a practical probabilistic model of depression that can be used to guide risk reduction strategies.Methods:A cross-sectional study was undertaken of 20,677 community-dwelling Australians aged 60 years or over in contact with their general practitioner during the preceding 12 months. Prevalent depression (minor or major) according to the Patient Health Questionnaire (PHQ-9) assessment was the main outcome of interest. Other measured exposures included self-reported age, gender, education, loss of mother or father before age 15 years, physical or sexual abuse before age 15 years, marital status, financial stress, social support, smoking and alcohol use, physical activity, obesity, diabetes, hypertension, and prevalent cardiovascular diseases, chronic respiratory diseases and cancer.Results:The mean age of participants was 71.7 ± 7.6 years and 57.9% were women. Depression was present in 1665 (8.0%) of our subjects. Multivariate logistic regression showed depression was independently associated with age older than 75 years, childhood adverse experiences, adverse lifestyle practices (smoking, risk alcohol use, physical inactivity), intermediate health hazards (obesity, diabetes and hypertension), comorbid medical conditions (clinical history of coronary heart disease, stroke, asthma, chronic obstructive pulmonary disease, emphysema or cancers), and social or financial strain. We stratified the exposures to build a matrix that showed that the probability of depression increased progressively with the accumulation of risk factors, from less than 3% for those with no adverse factors to more than 80% for people reporting the maximum number of risk factors.Conclusions:Our probabilistic matrix can be used to estimate depression risk and to guide the introduction of risk reduction strategies. Future studies should now aim to clarify whether interventions designed to mitigate the impact of risk factors can change the prevalence and incidence of depression in later life.

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Prevalence of Depression and Its Correlates in Hong Kong's Chinese Older Adults

Cited by 88 publications

References 28 publications

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Prevalence of clinically significant depressive symptoms in an epidemiologic sample of community‐dwelling elders with milder forms of cognitive impairment in Hong Kong SAR

Prevalence and Correlates of Depression among Nepalese Rai Older Adults

A practical approach to assess depression risk and to guide risk reduction strategies in later life

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