Abstract
Introduction: Depression is a common mental disorder reported nowadays. Depression accounts for the greatest burden among elderly as old age is a period of transition in which they also have to deal with physical aging. Depression may predate the onset of medical illness or it can occur as a result of having multiple co-morbidities. Furthermore, limited studies are available about the depression among elderly with multimorbidity in Malaysia. Hence, this study aims to determine the prevalence of depression and its associated factors among elderly with multimorbidity.
Methods: This study was using data from National Health and Morbidity Survey (NHMS) 2018 involving older adult with multimorbidity aged 60 years and above. In total, 1543 respondents were selected to be analyzed. Multimorbidity is defined as co-occurrence of at least two chronic non-communicable diseases in the same individual. In this study, elderly with diabetes mellitus, hypertension, hypercholesterolemia or cancer were taken into account. The respondents were evaluated using Geriatric Depression Scale (GDS) to screen for depression. A score of 8 and above indicated major depression. Descriptive and logistic regression analyses for the complex sample were performed to determine the association of depression between depression with its associated factor (i.e. sociodemography, lifestyles, psychosocial factors and physical illness).
Results The prevalence of depression of elderly people with multimorbidity is 6.8% (95%CI: 4.60-9.90). Multivariable analysis shows significant association in current smoker (AOR:3.26, 95%CI: 1.62-6.60, p value <0.001), people who are inactive (AOR:2.31 ,95%CI: 1.47-3.63, p value <0.001) and those who have low to fair social support (AOR:4.43, 95%CI: 2.30-8.53, p value <0.001) with depression. Conclusion: Depression is statistically significant with unhealthy life styles which are inactive daily life and current smoker plus people who have poor social support. Therefore, adequate education should be given in promoting healthy life styles. In addition, various methods should be initiated to increase social support which includes informational, emotional, instrumental and appraisal.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-89.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-89,
title = {Prevalence of Depression and Its Associated Factors among Elderly with Multimorbidity},
author = {Nabilah Hanis Zainuddin and Zamtira Seman and Zuraida Che Hassan and Zurina Razalee and Sazlina Shariff Ghazali and Mohd Azahadi Omar},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-89.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/APCPH2022-P-89-5cac48b80bf998e977cd7866fd118702.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Depression is a common mental disorder reported nowadays. Depression accounts for the greatest burden among elderly as old age is a period of transition in which they also have to deal with physical aging. Depression may predate the onset of medical illness or it can occur as a result of having multiple co-morbidities. Furthermore, limited studies are available about the depression among elderly with multimorbidity in Malaysia. Hence, this study aims to determine the prevalence of depression and its associated factors among elderly with multimorbidity.
Methods: This study was using data from National Health and Morbidity Survey (NHMS) 2018 involving older adult with multimorbidity aged 60 years and above. In total, 1543 respondents were selected to be analyzed. Multimorbidity is defined as co-occurrence of at least two chronic non-communicable diseases in the same individual. In this study, elderly with diabetes mellitus, hypertension, hypercholesterolemia or cancer were taken into account. The respondents were evaluated using Geriatric Depression Scale (GDS) to screen for depression. A score of 8 and above indicated major depression. Descriptive and logistic regression analyses for the complex sample were performed to determine the association of depression between depression with its associated factor (i.e. sociodemography, lifestyles, psychosocial factors and physical illness).
Results The prevalence of depression of elderly people with multimorbidity is 6.8% (95%CI: 4.60-9.90). Multivariable analysis shows significant association in current smoker (AOR:3.26, 95%CI: 1.62-6.60, p value \<0.001), people who are inactive (AOR:2.31 ,95%CI: 1.47-3.63, p value \<0.001) and those who have low to fair social support (AOR:4.43, 95%CI: 2.30-8.53, p value \<0.001) with depression. Conclusion: Depression is statistically significant with unhealthy life styles which are inactive daily life and current smoker plus people who have poor social support. Therefore, adequate education should be given in promoting healthy life styles. In addition, various methods should be initiated to increase social support which includes informational, emotional, instrumental and appraisal.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Sector for Biostatistics and Data Repository, National Institutes of Health (NIH), Ministry of Health Malaysia ; Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia},
keywords = {Depression, Elderly, NHMS 2018},
pubstate = {published},
tppubtype = {proceedings}
}