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Factors Associated With High Rates of Depressive Symptomatology in Older People in Vietnam
Institution:1. Social Gerontology Division (KVT, THD, TAN), National Ageing Research Institute, Melbourne, VIC, Australia;2. UniSA: Clinical and Health Sciences (KVT, AE, ER, TAN), University of South Australia, Adelaide, SA, Australia;3. College of Economics (YS), Nihon University, Tokyo, Japan;4. Senior Advisor on Population Ageing (YS), Economic Research Institute for ASEAN and East Asia, Jakarta, Indonesia;5. Centre for Healthy Brain Ageing (HB), The University of New South Wales, Sydney, NSW, Australia;6. Institute of Population, Health and Development (NCV, LTD), Hanoi, Vietnam;7. School of Health Sciences (THD, TAN), Swinburne University of Technology (THD, TAN), Melbourne, VIC, Australia;8. Melbourne School of Population and Global Health (HM), University of Melbourne, Melbourne, VIC, Australia;9. Health Strategy and Policy Institute (TAN), Ministry of Health of Vietnam, Hanoi, Vietnam;1. Yale School of Medicine, Department of Psychiatry;2. Yale Program in the History of Science and Medicine;1. Weill Cornell Medicine (DS), Department of Medicine, Division of Geriatrics and Palliative Care, New York, NY;2. Weill Cornell Medicine (DS), Department of Psychiatry, New York, NY;3. Columbia University (SC, JL, HP), Department of Psychiatry, New York, NY;4. New York State Psychiatric Institute (BSR, HP), New York, NY;5. National Hospice and Palliative Care Organization (LB), Alexandria, Virginia;1. University of California at San Francisco (BK), San Francisco, CA;2. Noncommunicable Diseases and Mental Health, WHO Country Office for Nepal (KM), Lalitpur, Kathmandu, Nepal;3. Ageing Nepal (STM), Kathmandu, Nepal
Abstract:ObjectivesThis study aimed to identify the prevalence and correlates of depressive symptomatology among Vietnamese older people.MethodWe used baseline survey data collected in 2018 from the Longitudinal Study of Ageing and Health in Vietnam (LSAHV) conducted across seven regions and comprising 6,050 people aged 60 years and over of whom 4962 completed the brief 11-item Center for Epidemiological Studies-Depression (CES-D) scale. Clinically significant depressive symptomatology was a CES-D score of 8.8 or higher. The association between demographic, physical, and mental factors with depressive symptomatology was examined using univariate and multivariable logistic regression.ResultsThe prevalence of depressive symptomatology was 31.3% (95% CI 29.8% - 32.9%). Depressive symptomatology was highest among people living in the Central Coast region (46.8%, 95% CI 44.5% - 49.2%). Factors associated with depressive symptomatology from the multivariable model included female sex (OR 1.3, 95% CI: 1.1-1.6), rural residence (OR 1.4, 95%CI: 1.1-1.7), not having a partner (OR 1.6, 95% CI: 1.3-1.9), low income (OR 1.8, 95% CI: 1.5-2.1), and health-limitations on activities (OR 1.3, 95% CI: 1.1-1.6). Poorer self-rated mental health (OR 2.1, 95% CI:1.8-2.5) or general health status (OR 1.5, 95% CI: 1.3-1.9) was associated with a higher prevalence of depressive symptomatology, as was poorer function with respect to different activities of daily living, and dissatisfaction with current life (OR 6.1, 95% CI: 4.4-8.4).ConclusionsDepressive symptomatology was frequent among older Vietnamese. Efforts to improve mental health in older persons in Vietnam, including prevention, early intervention and better medical care, appear warranted.
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