Depresión y factores asociados en la población peruana adulta mayor según la ENDES 2014-2015

Martina, Martha; Ara, Miguel Angel; Gutiérrez, César; Nolberto, Violeta; Piscoya, Julia

doi:10.15381/anales.v78i4.14259

Cited by 25 publications

(40 citation statements)

References 12 publications

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“…Contrary to previous evidence in Peru [ 27 , 28 ], we found that the younger population was more prone to having depressive symptoms. However, similar results have been found in large samples in the US [ 29 ] and the UK [ 30 ] during the pandemic, where young adults showed a higher prevalence of severe psychological distress compared to older groups [ 29 ].…”

Section: Discussioncontrasting

confidence: 99%

Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic

et al. 2021

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Background Population health and well-being in Latin America, the current epicenter of the COVID-19 pandemic, has been severely affected during the past semester. Despite the growing evidence about the link between the pandemic, its control measures, and mental health worldwide, there is still no regional evidence of the potential mental health impact. We describe the prevalence and distribution of depressive symptoms across demographic and socioeconomic risk factors in the Peruvian population amidst a national lockdown during the COVID-19 pandemic. Methods Cross-sectional study conducted during the community transmission phase and national lockdown in Peru (May 4th–16th, 2020). We recorded 64,493 responses from adult Peruvian residents through an opt-in online questionnaire. All analyses were weighted using raking based on proportions of sociodemographic variables from the last Peruvian census in 2017. The prevalence of depressive symptoms was calculated using the Patient Health Questionnaire (PHQ-9) score of 10 or more. We identified associated demographic and socioeconomic factors by prior mental health diagnosis. Sensitivity analysis considered an alternative cut-off point for depressive symptoms of PHQ-9 ≥ 14. Results A total of 57,446 participants were included in the analytical sample. A third of the participants (n = 23,526, unweighted) showed depressive symptoms in the 2 weeks prior to the study. Participants who reported a previous mental health diagnosis doubled the sample prevalence of depressive symptoms (59, 95%CI 56.7, 61.4%) of those without a prior diagnosis. Psychosocial and functioning reactions were largely more prevalent among females and young adults. A dose-response relationship was found between household income and depressive symptoms across previous mental health diagnosis strata, being as low as 32% less in the wealthiest than the most impoverished group (PR: 0.68, 95%CI 0.58,0.79). Other critical factors associated with a higher burden of depressive symptoms were lower education level, single, unemployed, and chronic comorbidity. Conclusions An increased burden of depressive symptoms and psychosocial reactions has emerged during the COVID-19 pandemic in Peru compared to previous years. The mental health burden disproportionately affects women, the younger population, and those with low income and education. As the country eases the social distancing measures, it is crucial to use local evidence to adjust public health policies and mental health services to the renewed population needs.

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Section: Discussioncontrasting

confidence: 99%

Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic

et al. 2021

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“…Con respecto a la instrucción educativa y la convivencia los resultados de esta investigación concuerdan con los hallazgos de Martina 17 , quien demuestra que la población analfabeta tiene mayor frecuencia de depresión (p<0,001), igual que la población que vive sola, también se evidencia similitud con los resultados de la investigación realizada en China por Nianquan Sol 18 , quien concluyó que vivir solo y tener un nivel educativo bajo son quienes en su mayoría presentan síntomas depresivos. En esta investigación en cuanto a la ocupación se encontró significancia estadística al asociarlo con la depresión, sin embargo, estos resultados no coinciden con los encontrados por Tartaglini, quien no encontró asociación entre estas 2 variables (p 0,673).…”

Section: Discussionunclassified

Depresión en el adulto mayor con diabetes mellitus y/o hipertensión arterial y variables sociodemográficas relacionadas

2020

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Objetivo: Identificar las variables sociodemográficas relacionadas con la depresión en el adulto mayor con diabetes mellitus y/o hipertensión arterial. Método: Estudio cuantitativo, observacional, analítico, de corte transversal. La población de estudio constó de 100 adultos mayores del barrio Zumbalica centro y sur de la parroquia Eloy Alfaro, cantón Latacunga con diagnóstico previo de diabetes mellitus y/o hipertensión arterial que cumplieron con los criterios de inclusión. Resultados: La depresión en el grupo poblacional estudiado tuvo una prevalencia del 81%. Conclusión: Las variables demográficas que tienen relación con la depresión en el adulto mayor que padece de diabetes mellitus y/o hipertensión arterial son el sexo, estado civil, instrucción educativa, ocupación, la convivencia.

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“…The explanatory variables of the study were the self-reporting of diabetes mellitus (yes, no) that was evaluated with the question: "Have you ever been diagnosed with diabetes or "high blood sugar" by a doctor in your life? "; the presence of high blood pressure (yes, no) when the mean systolic blood pressure was ≥140 mmHg and/or mean diastolic blood pressure was ≥ 90 mmHg [18] or having a prior diagnosis of hypertension; the presence of depressive symptoms evaluated with the Patient Health Questionnaire (PHQ-9, yes, no) considering a PHQ-9 score ≥10 as yes [19,20]; the presence of the following combinations: diabetes and hypertension (yes, no), diabetes and depression (yes, no), hypertension and depression (yes, no); and, the presence of multimorbidity (yes, no) considered as yes in the presence of two or more of the previous diseases.…”

Section: E P U B a H E A D O F P R I N Tmentioning

confidence: 99%

Association between chronic conditions and oral health services utilization in older Peruvian adults: A pooled analysis of the Demographic and Health Survey 2015-2017

2020

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Objectives. To investigate the association between chronic conditions (CCs) and oral health services utilization (OHSU) within the previous six months in older Peruvian adults (defined as a person 60 years of age or more according to Peruvian Law). Methods. An analytical cross-sectional study was performed based on the 2015-2017 Peruvian Demographic and Family Health Survey (ENDES). Pooled dat a from 13,699 older adults were analyzed. A logistic regression model was used to analyze the association between OHSU (dependent variable) and CCs (independent variable). Tobacco consumption, obesity, educational level, age, sex, welfare quintile, area of residence, having health insurance and natural region of residence were included as covariates in the analysis. Results. The frequency of OHSU in old r adults was 18.5% (95% CI 17.8%-19.3%). The highest percentage point differences with regards to O SU were found between extreme categories of educational level (higher education vs. none or elementary school: +24.8) and welfare quintile (richest vs. poorest: +24.0). In the crude model, OHSU was associated with diabetes (OR 1.46; 95% CI: 1.26-1.69), but this association disappeared after adjustment for covariates. Meanwhile, depression decreased the likelihood of OHSU (OR 0.82; 95% CI: 0.72-0.95) in the adjusted model. Conclusions. The frequency of OHSU is low in older Peruvian adults. Regarding CCs, we found that depression independently decreased the likelihood of OHSU in the adjusted model of analysis. Our results may be useful for the development of policies aimed at achieving greater OHSU in older adults with CCs, especially in those with depression.

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Depresión y factores asociados en la población peruana adulta mayor según la ENDES 2014-2015

Cited by 25 publications

References 12 publications

Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic

Depressive symptoms among Peruvian adult residents amidst a National Lockdown during the COVID-19 pandemic

Depresión en el adulto mayor con diabetes mellitus y/o hipertensión arterial y variables sociodemográficas relacionadas

Association between chronic conditions and oral health services utilization in older Peruvian adults: A pooled analysis of the Demographic and Health Survey 2015-2017

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