Prevalence and Determinants of Depression among elderly rural population of North India
Context: Depression is the commonest neuropsychiatric
disorder in elderly. Depression can reduce the quality of
life and also increases the dependence on others.
Objective: The objectives of the study were to find out
the prevalence of depression and to identify associated
risk factors among community dwelling elderly from rural
Methods: It was a cross-sectional, descriptive study involving
100 community-dwelling elderly residing in a village
of North India. A non-probability convenience sampling
was done. The Geriatric Depression Scale (GDS-15)-Hindi
Version was used to assess depression. Descriptive statistics
was performed using SPSS version 12. Cross tabulation
for different variables was done and Chi-square
was used as test of significance. The level of significance
was set as p < 0.05. A formal (verbal) consent was taken.
Anonymity and confidentiality was assured.
Results: Among 100 respondents, 64% were males
while 36% were females. The mean of the elderlies was
68.49±22.6 years with mostly(54.0%) being in the agegroup
of 60-69 years. The study found that 42.0% of the
elderlies were depressed out of which 14.0% were having
severe depression. Depression was more among females
than male (p=0.03). Depression was statistically significant
among unmarried/widowed/separated respondents
(p<0.05) and illiterate (p<0.001). Although a large proportion
of the participants were satisfied with their income,
this was statistically significant (p<0.001) for depression
among those who were not satisfied with their income.
Conclusion: A significant prevalence of geriatric depression
was reported. In order to reduce its prevalence, general
physicians and other health care professionals need
to be sensitized about geriatric depression and its risk