Factors Associated with Elderly Depression among Rural Bangladeshi Individuals
American Journal of Psychiatry and Neuroscience
Volume 2, Issue 1, January 2014, Pages: 1-7
Received: Dec. 3, 2013; Published: Jan. 20, 2014
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Authors
Jui Das, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Fahmida Dil Farzana, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Farzana Ferdous, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Shahnawaz Ahmed, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Sarah Tegenfeldt, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Repon Chandra Paul, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Mohammod Jobayer Chisti, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Abu Syed Golam Faruque, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh
Sumon Kumar Das, Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research, Bangladesh, Shaheed Tajuddin Ahmed Sarani, Mohakhali, Bangladesh; School of Population Health, The University of Queensland, Herston Rd, Herston, QLD 4006, Australia
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Abstract
Background: Depression is a chronic disorder, which often remains undiagnosed. There is a gross lack of evidence-based information about depressive illnesses among adult individuals from rural Bangladesh. Objective: The present study aimed to determine the factors that are associated with depressive illness but remain undiagnosed among rural healthy adult individuals. Methodology: A cross-sectional study was conducted in the Demographic Surveillance System area of rural Mirzapur sub-district, during April to September 2010. A total of 130 apparently healthy individuals [no history of hypertension, cardiovascular diseases, hepatic (serum alanine transaminase; ALT) or renal (serum creatinine) dysfunction; diabetic mellitus (fasting blood sugar)] aged 40 years and above were randomly selected from the DSS database. Level of depression was assessed using 30-item Geriatric Depression Scale. Results: Forty-two percent of the healthy participants were found to have mild depression, 17% were severely depressed. In multivariate analysis, females had a 2.79 [95% CI-0.94-8.26] times higher risk for depression compared to males. Healthy elderly individuals (≥60 years) had a 2.79 [0.94-8.33] times higher risk for depression compared to their middle-aged counterparts (40-59 years). Furthermore, individuals who consumed a vegetable-based diet were at 2.47 [0.85-7.15] times higher risk for depression; individuals with low monthly income were at 2.57 [0.94-7.01] times higher, and those with poor wealth index were 1.55 [1.07-2.25] times more likely to suffer from depression compared to their counterparts after adjusting for vitamin B12, folic acid, ALT, and blood hemoglobin. Conclusion: Healthy elderly individuals from rural Bangladesh were more depressed than middle-aged adults; and females with poor socio-economic status were at higher risk for depression than males.
Keywords
Bangladesh, Depression, Elderly, Healthy, Rural
To cite this article
Jui Das, Fahmida Dil Farzana, Farzana Ferdous, Shahnawaz Ahmed, Sarah Tegenfeldt, Repon Chandra Paul, Mohammod Jobayer Chisti, Abu Syed Golam Faruque, Sumon Kumar Das, Factors Associated with Elderly Depression among Rural Bangladeshi Individuals, American Journal of Psychiatry and Neuroscience. Vol. 2, No. 1, 2014, pp. 1-7. doi: 10.11648/j.ajpn.20140201.11
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