This study aimed to estimate the prevalence and determinants of mental disorders
(MDs) among elderly people residing in nursing homes (NHs) and those living with
their families (WF) in Baghdad, Iraq, 2017. A cross-sectional study was
conducted on all elderly individuals residing in all NHs in Baghdad and an equal
number of elderly people residing WF. MDs were defined based on Kessler
Psychological Distress Scale (K10). We used relevant World Health
Organization–accredited tools to identify the types of MDs. The prevalence of
MDs among elderly people was 38.7%, being statistically significantly
(
P
< .01) higher among those in NH (55.8%) compared with
those living WF (21.5%). The proportion of types of MDs among NH versus WF
residents was as follows: depression (35.4% vs 16.6%), anxiety (32.6% vs 9.9%),
dementia (19.3% vs 5%), and suicide thoughts (25.4% vs 4.4%). The multivariate
analysis showed many factors that were associated with MD. Low income,
dependency on others, and being neglected were stronger determinant of MD among
elderly people living WF. However, chronic joint pain, visual impairment,
auditory impairment, and economic status deterioration were stronger determinant
among those in NHs. The prevalence of MDs in the NH is more than double the
prevalence in the community. We recommended enhancing elderly mental health care
services including curative, preventive, and promotive activities.