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首页> 外文期刊>American Journal of Psychiatry and Neuroscience >Factors associated with elderly depression among rural Bangladeshi individuals
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Factors associated with elderly depression among rural Bangladeshi individuals

机译：孟加拉国农村人口中与老年人抑郁症相关的因素

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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.
机译：背景：抑郁症是一种慢性疾病，经常无法诊断。孟加拉国农村成年个体中，关于抑郁症的证据严重缺乏。目的：本研究旨在确定与抑郁症疾病相关但在农村健康成人个体中仍未被诊断的因素。方法：于2010年4月至9月在Mirzapur郊区乡村的人口监测系统区域进行了横断面研究。共有130名貌似健康的个体[无高血压，心血管疾病，肝病（血清丙氨酸转氨酶; ALT）或肾（血清肌酐）功能障碍;从DSS数据库中随机选择40岁及以上的糖尿病（空腹血糖）。使用30项老年抑郁量表评估抑郁水平。结果：42％的健康参与者被发现患有轻度抑郁症，17％的情绪低落。在多变量分析中，女性的抑郁风险比男性高2.79 [95％CI-0.94-8.26]倍。健康的老年人（≥60岁）患抑郁症的风险是中年人（40-59岁）的2.79 [0.94-8.33]倍。此外，食用以蔬菜为基础的饮食的人患抑郁症的风险高2.47 [0.85-7.15]倍。调整了维生素B12，叶酸和ALT后，低收入人士的抑郁症可能性比同龄人高2.57 [0.94-7.01]倍，而财富指数差的人患抑郁症的可能性比同龄人高1.55 [1.07-2.25]倍和血红蛋白。结论：来自孟加拉国农村的健康的老年人比中年的成年人更沮丧。社会经济地位较差的女性比男性的抑郁风险更高。

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