medigraphic.com
Instituto Nacional de Salud Pública

2022, Number 4

<< Back Next >>

salud publica mex 2022; 64 (4)

Prevalence and factors associated with depressive symptoms in rural and urban Mexican older adults: evidence from the Mexican Health and Aging Study 2018

García-Pérez A, González-Aragón PAE, Sandoval-Bonilla BA, Cruz-Hervert LP

Language: English
References: 36
Page: 367-376
PDF size: 249.79 Kb.


ABSTRACT

Objective. To determine the prevalence and factors related to depressive symptoms in older Mexican adults in urban and rural areas. Materials and methods. Cross-sectional study. We examined older adults from a sample taken from the Mexican Health and Aging Study (MHAS-2018). 14 230 older Mexicans were screened for self-reported depressive symptoms. Results. The prevalence of depressive symptoms was 29.8% (33.4% rural vs. 28.9% urban). In the rural and urban population, the probability of a high prevalence of depressive symptoms was higher in older adults with multimorbidity ≥3, severe pain, and fair/poor SRH. Only in the urban population the prevalence of depressive symptoms increased with lower schooling. Conclusion. Identification of the factors related to depressive symptoms may help healthcare professionals provide better treatment for specific groups in the population.


REFERENCES

  1. World Health Organization. Depression and other Common Mental Disorders:Global Health Estimates. Geneva: WHO, 2017 [cited 2020 Jan 12].Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf

  2. Sjöberg L, Karlsson B, Atti AR, Skoog I, Fratiglioni L, Wang HX. Prevalenceof depression: Comparisons of different depression definitions inpopulation-based samples of older adults. J Affect Disord. 2017;221:123-

  3. https://doi.org/10.1016/j.jad.2017.06.0113. Aravena JM, Saguez R, Lera L, Moya MO, Albala C. Factors relatedto depressive symptoms and self-reported diagnosis of depression incommunity-dwelling older Chileans: A national cross-sectional analysis. IntJ Geriatr Psychiatry. 2020;35(7):749-58. https://doi.org/10.1002/gps.5293

  4. Leong OS, Ghazali S, Hussin EOD, Lam SK, Japar S, Geok SK, et al. Depressionamong older adults in Malaysian daycare centres. Br J CommunityNurs. 2020;25(2):84-90. https://doi.org/10.12968/bjcn.2020.25.2.84

  5. Rivera-Dommarco J, Shamah-Levy T, Barrientos-Gutiérrez T, Bautista-Arredondo S, Romero-Martínez M, Pelcastre-Villafuerte B, et al. The healthof Mexicans living in localities with less than 100 000 inhabitants. SaludPublica Mex. 2019;61(6):709-15. https://doi.org/10.21149/10980

  6. García-Peña C, Wagner FA, Sánchez-Garcia S, Juárez-Cedillo T, Espinel-Bermúdez C, García-Gonzalez JJ, et al. Depressive symptoms among olderadults in Mexico City. J Gen Intern Med. 2008;23(12):1973-80. https://doi.org/10.1007/s11606-008-0799-2

  7. Shang Q. Social support, rural/urban residence, and depressive symptomsamong Chinese adults. J Community Psychol. 2020;48(3):849-61.https://doi.org/10.1002/jcop.22302

  8. Hoebel J, Maske UE, Zeeb H, Lampert T. Social inequalities and depressivesymptoms in adults: the role of objective and subjective socioeconomicstatus. PLoS One. 2017;12(1):e0169764. https://doi.org/10.1371/journal.pone.0169764

  9. St John PD, Menec V, Tate R, Newall NE, Cloutier D, O’Connell M. Depressivesymptoms in adults in rural and urban regions of Canada: a crosssectionalanalysis of the Canadian Longitudinal Study on Aging. BMJ Open.2021;11(12):e048090. https://doi.org/10.1136/bmjopen-2020-048090

  10. Mechakra-Tahiri S, Zunzunegui MV, Préville M, Dubé M. Social relationshipsand depression among people 65 years and over living in ruraland urban areas of Quebec. Int J Geriatr Psychiatry. 2009;24(11):1226-36.https://doi.org/10.1002/gps.2250

  11. Wong R, Peláez M, Palloni A. Self-reported general health in olderadults in Latin America and the Caribbean: usefulness of the indicator. RevPanam Salud Publica. 2005:17(5/6):323-32. https://doi.org/10.1590/s1020-49892005000500004

  12. Ambresin G, Chondros P, Dowrick C, Herrman H, Gunn JM. Selfratedhealth and long-term prognosis of depression. Ann Fam Med.2014;12(1):57-65. https://doi.org/10.1370/afm.1562

  13. Millán-Calenti JC, Sánchez A, Lorenzo T, Maseda A. Depressivesymptoms and other factors associated with poor self-rated health inthe elderly: gender differences. Geriatr Gerontol Int. 2012;12(2):198-206.https://doi.org/10.1111/j.1447-0594.2011.00745.x

  14. Camargo-Casas S, Suarez-Monsalve S, Zepeda MUP, García-Peña C, Cano-Gutiérrez CA. Multimorbidity, depressive symptoms, and self-reportedhealth in older adults: a secondary analysis of the Sabe Bogota Study. RevInvest Clin. 2018;70(4):192-7. https://doi.org/10.24875/RIC.18002478

  15. Murray CB, Patel KV, Twiddy H, Sturgeon JA, Palermo TM. Age differencesin cognitive-affective processes in adults with chronic pain. Eur J Pain.2021;25(5):1041-52. https://doi.org/10.1002/ejp.1725

  16. Sharpe L, McDonald S, Correia H, Raue PJ, Meade T, Nicholas M, et al.Pain severity predicts depressive symptoms over and above individual illnessesand multimorbidity in older adults. BMC Psychiatry. 2017;17(1):166.https://doi.org/10.1186/s12888-017-1334-y

  17. St John PD, Blandford AA, Strain LA. Depressive symptomsamong older adults in urban and rural areas. Int J Geriatr Psychiatry.2006;21(12):1175-80. https://doi.org/10.1002/gps.1637

  18. Fleischer NL, Fernald LC, Hubbard AE. Depressive symptoms in lowincomewomen in rural Mexico. Epidemiology. 2007;18(6):678-85. https://doi.org/10.1097/EDE.0b013e3181567fc5

  19. The Mexican Health and Aging Study. MHAS 2018 Data Files Description.Mexico [cited 2021 Jan 21].Available from: http://www.ENASEM.org

  20. Aguilar-Navarro SG, Fuentes-Cantú A, Avila-Funes JA, García-MayoEJ. Validity and reliability of the screening questionnaire for geriatricdepression used in the Mexican Health and Age Study. Salud Publica Mex.2007;49(4):256-62. https://doi.org/10.1590/s0036-36342007000400005

  21. García-Pérez A, González-Aragón Pineda AE, Villanueva-Gutiérrez T.Access to healthcare services between insured and uninsured adults aged≥50 years with diabetes in Mexico: The Mexican Health and Aging Study(MHAS-2018). Public Health. 2021;194:176-181. https://doi.org/10.1016/j.puhe.2021.03.006

  22. Salinas JJ, Al Snih S, Markides K, Ray LA, Angel RJ. The rural-urbandivide: Health services utilization among older Mexicans in Mexico.J Rural Health. 2010;26(4):333-41. https://doi.org/10.1111/j.1748-0361.2010.00297.x

  23. Instituto Nacional de Estadística y Geografía. Censo de Población yVivienda. Mexico: Inegi, 2020 [cited 2021 Jan 21]. Available from: http://cuentame.inegi.org.mx/poblacion/rur_urb.aspx?tema_P

  24. Smith KV, Goldman N. Socioeconomic differences in health amongolder adults in Mexico. Soc Sci Med. 2007;65(7):1372-85. https://doi.org/10.1016/j.socscimed.2007.05.023

  25. Charoensakulchai S, Usawachoke S, Kongbangpor W, Thanavirun P,Mitsiriswat A, Pinijnai O, et al. Prevalence and associated factors influencing depressionin older adults living in rural Thailand: A cross-sectional study. GeriatrGerontol Int. 2019;19(12):1248-53. https://doi.org/10.1111/ggi.13804

  26. Huang G, Duan Y, Guo F, Chen G. Prevalence and related influencingfactors of depression symptoms among empty-nest older adults inChina. Arch Gerontol Geriatr. 2020;91:104183. https://doi.org/10.1016/j.archger.2020.104183

  27. Kuehner C. Why is depression more common among women thanamong men? Lancet Psy. 2017;4(2):146-58. https://doi.org/10.1016/S2215-0366(16)30263-2

  28. Zhang L, Xu Y, Nie H, Zhang Y, Wu Y. The prevalence of depressivesymptoms among the older in China: a meta-analysis. Int J Geriatr Psy.2012;27(9):900-6. https://doi.org/10.1002/gps.2821

  29. Peng S, Wang S, Feng XL. Multimorbidity, depressive symptoms anddisability in activities of daily living amongst middle-aged and olderChinese: Evidence from the China Health and Retirement LongitudinalStudy. J Affect Disord. 2021;295:703-10. https://doi.org/10.1016/j.jad.2021.08.072

  30. Sharpe L, McDonald S, Correia H, Raue PJ, Meade T, Nicholas M, etal. Pain severity predicts depressive symptoms over and above individualillnesses and multimorbidity in older adults. BMC Psy. 2017;17(1):166.https://doi.org/10.1186/s12888-017-1334-y

  31. Menéndez J, Guevara A, Arcia N, León-Díaz EM, Marín C, Alfonso JC.Chronic diseases and functional limitation in older adults: a comparativestudy in seven cities of Latin America and the Caribbean. Rev PanamSalud Publica. 2005;17(5-6):353-61. https://doi.org/10.1590/s1020-49892005000500007

  32. Jiang H, Burström B, Chen J, Burström K. Rural-urban inequalities inpoor self-rated health, self-reported functional disabilities, and depressionamong chinese older adults: evidence from the China health and retirementlongitudinal study 2011 and 2015. Int J Environ Res Public Health.2021;18(12):6557. https://doi.org/10.3390/ijerph18126557

  33. Chang-Quan H, Zheng-Rong W, Yong-Hong L, Yi-Zhou X, Qing-Xiu L. Educationand risk for late life depression: a meta-analysis of published literature.Int J Psy Med. 2010;40(1):109-24. https://doi.org/10.2190/PM.40.1.i

  34. Skośkiewicz-Malinowska K, Malicka B, Ziętek M, Kaczmarek U.Oral health condition and occurrence of depression in the elderly.Medicine (Baltimore). 2018;97(41):e12490. https://doi.org/10.1097/MD.0000000000012490

  35. Kisely S, Sawyer E, Siskind D, Lalloo R. The oral health of people withanxiety and depressive disorders - a systematic review and meta-analysis. JAffect Disord. 2016;200:119-32. https://doi.org/10.1016/j.jad.2016.04.040

  36. Noguchi S, Makino M, Haresaku S, Shimada K, Naito T. Insomnia anddepression impair oral health-related quality of life in the old-old. GeriatrGerontol Int. 2017;17(6):893-897. https://doi.org/10.1111/ggi.12816




2020     |     www.medigraphic.com