Depression in late life: a hidden public health problem for Mexico?

Wagner, Fernando A.; Gallo, Joseph J.; Delva, Jorge

doi:10.1590/s0036-36341999000300007

Cited by 21 publications

(22 citation statements)

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“…The current state of depressive symptoms among this growing older adult population appears to be both directly and indirectly affected by historical conditions of material deprivation combined with little investment in public health infrastructure that characterized the first half of the 20th century in Mexico. The effects of these conditions do not appear in this analysis to be ameliorated by divergent socio-economic patterns in adulthood, an important finding given the growing concerns related to mental health among older adults in Mexico (Wagner et al 1999). The life-course experiences of these older adults should be further understood as they continue to expand in their share of the Mexican population in the context of limited institutional supports and family care networks weakened by declining fertility rates, high out-migration to the United States, and changing norms about family caregiving (Wong and Palloni 2009).…”

Section: Resultsmentioning

confidence: 73%

“…Depression is the leading contributor to disease burden in Mexico (Berenzon et al 2013), accounting for an estimated 6 % of disability-adjusted life years lost as of 2004 (Stevens et al 2008). Depression is also strongly associated with other aspects of chronic disease and physical functioning that are of increasing concern for a growing older adult population in Mexico (Wagner et al 1999). …”

Section: Introductionmentioning

confidence: 99%

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Childhood Poverty and Depressive Symptoms for Older Adults in Mexico: A Life-Course Analysis

Torres

Wong

2013

J Cross Cult Gerontol

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This study applies life-course theories of latent (direct), pathway (indirect) and conditional effects in an analysis of childhood poverty on later-life depressive symptoms among older adults in Mexico. Data are from the 2001 Mexican Health and Aging Study (MHAS), a nationally representative sample of older adults born before 1951 (n=8696). Respondents had a mean of 3.6 past-week depressive symptoms and 71 % had no household sanitation facilities before age 10; this measure served as a proxy for childhood poverty. Childhood poverty is significantly related to scores on an adapted 9-item CES-D scale in the full model (b=0.27, p<0.001). This effect is partially mediated by four adult socio-economic status measures, although decomposition analysis reveals the mediation effect to be primarily driven by educational achievement. These findings have important implications for Mexico’s rapidly aging population as well as efforts for childhood poverty reduction and gains in education.

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Section: Resultsmentioning

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Childhood Poverty and Depressive Symptoms for Older Adults in Mexico: A Life-Course Analysis

Torres

Wong

2013

J Cross Cult Gerontol

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“…Prevalence estimates from developing countries are scarcer. In Mexico, for instance, the few depression prevalence studies carried out have not focused on persons 60 years and older, and, consequently, sample sizes have been too small to yield precise estimates [16][17][18][19] .…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms Among Older Adults in Mexico City

et al. 2008

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BACKGROUND: Ageing and depression are associated with disability and have significant consequences for health systems in many other developing countries. Depression prevalence figures among the elderly are scarce in developing countries. OBJECTIVE:To estimate the prevalence of depressive symptoms and their cross-sectional association with selected covariates in a community sample of Mexico City older adults affiliated to the main healthcare provider. DESIGN:Cross-sectional, multistage community survey. PARTICIPANTS:A total of 7,449 persons aged 60 years and older.MEASUREMENTS: Depression was assessed using the 30-item Geriatric Depression Scale (GDS); cognitive impairment, using the Mini-Mental State Examination; and health-related quality of life with the SF-36 questionnaire. MAIN RESULTS:The prevalence of significant depressive symptoms was estimated to be 21.7%, and 25.3% in those aged 80 and older. After correcting for GDS sensitivity and specificity, major depression prevalence was estimated at 13.2%. Comparisons that follow are adjusted for age, sex, education and stressful life events. The prevalence of cognitive impairment was estimated to be 18.9% in depressed elderly and 13.7% in non-depressed. SF-36 overall scores were 48.0 in depressed participants and 68.2 in non-depressed (adjusted mean difference = −20.2, 95% CI = −21.3, −19.1). Compared to non-depressed elderly, the odds of healthcare utilization were higher among those depressed, both for any health problem (aOR 1.4, 95% CI=1.1, 1.7) and for emotional problems (aOR 2.7, 95% CI=2.2, 3.2).CONCLUSIONS: According to GDS estimates, one of every eight Mexican older adults had major depressive symptoms. Detection and management of older patients with depression should be a high priority in developing countries.

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“…En este sentido, se ha relacionado el control de la depresión con reducción de HbA1c de 0.8-1.2 % (15,16), además se ha documentado un mayor riesgo de muerte por enfermedad coronaria en personas con diabetes que padecen depresión (11).…”

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Diabetes Tipo 2 y Depresión en Guadalajara, México. 2005

et al. 2008

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RESUMENObjetivo Determinar la prevalencia de depresión y comparar indicadores sociodemográficos, metabólicos y clínicos, en personas con diabetes tipo 2 deprimidas y no deprimidas. Material y métodos Se realizó un estudio transversal comparativo en una muestra de 450 personas con diabetes tipo 2, mayores de 30 años, con más de un año de diagnóstico y sin determinación de psicopatología. Aplicamos escala de Zung modificada y encuesta sociodemográfica, evaluamos Hemoglobina glucosilada, índice de masa corporal (IMC), tensión arterial y glucemia de ayuno; registramos antigüedad diagnóstica y estadio clínico de diabetes. Resultados La prevalencia de depresión fue de 63 %, en una proporción de 3 a 1, mayor en mujeres que en hombres con razón de momios 3,17(IC 95 % 2,08-4,82) p=0,0000. Existen diferencias en escolaridad, estado civil y ocupación entre deprimidos y no deprimidos (p<0.05), la edad no presenta diferencias, al igual que las variables metabólicas, excepto IMC, antigüedad diagnóstica y estadio clínico 3 y 4. En las variables socio-demográficas y clínico-metabólicas por sexo, no encontramos asociación en las primeras (p>0.05), no obstante, antigüedad diagnostica y estadio clínico si se asocian con sexo, la primera de estas se asoció solo en hombres y la segunda en ambos sexos. Conclusiones La prevalencia de depresión es alta en las personas con diabetes y las mujeres tienen mayor riesgo. La edad no muestra asociación entre personas con diabetes que están deprimidas, a diferencia de escolaridad, estado civil, y ocupación; la depresión se presentó más en personas con más antigüedad diagnóstica de diabetes y mayor IMC.Palabras Clave: Depresión, diabetes, estudio comparativo (fuente: DeCS, BIREME).Rev. salud pública. 10 (1): [137][138][139][140][141][142][143][144][145][146][147][148][149] 2008

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Depression in late life: a hidden public health problem for Mexico?

Cited by 21 publications

References 42 publications

Childhood Poverty and Depressive Symptoms for Older Adults in Mexico: A Life-Course Analysis

Childhood Poverty and Depressive Symptoms for Older Adults in Mexico: A Life-Course Analysis

Depressive Symptoms Among Older Adults in Mexico City

Diabetes Tipo 2 y Depresión en Guadalajara, México. 2005

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