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Socio-Medical Aspects of Depression Among Elderly Adults in Serbia Cover

Figures & Tables

Odds ratios (OR) and 95% confidence intervals (CI) for the depression depending on demographics and socioeconomic characteristics

Univariate modelMultivariate model
OR (95%CI)pOR(95%CI)p
Gender
male11
female2.161 (1.847–2.530)< 0,0011.678 (1.395–2.018)< 0,001
Age groups
65–7411
75–841.539 (1.319–1.796)< 0,0011.373 (1.164–1.621)< 0,001
85+2.250 (1.665–3.041)< 0,0011.728 (1.250–2.389)< 0,001
Marital status
married / common-law marriage11
never married / common-law marriage2.24 (1.204–4.165)< 0,0012.023 (1.056–3.879)0.034
widower / widow1.751(1.503–2.039)< 0,0011.287 (1.077–1.538)0.006
divorced1.462 (0.954–2.240)< 0,0011.433 (0.916–2.239)0.115
Settlement type
city11
other1.690 (1.457–1.961)< 0,0011.255 (1.045–1.506)0.015
Education
high and senior high school11
high school1.616 (1.197–2.181)< 0,0011.366 (1.002–1.862)0.048
primary school and lower3.456 (2.619–4.562)< 0,0011.886 (1.379–2.580)< 0,001
Wellbeing Index
rich class1
middle class1.684 (1.315–2.155)< 0,00051.433 (1.105–1.858)0.07
poor class2.413 (1.986–2.932)< 0,00051.607 (1.272–2.033)< 0,001
Social support
strong11
moderate1.725 (1.215–2.541)1.523(1.051–2.264)< 0,001
poor3.749 (2.428–5.845)3.045 (1.984–4.829)< 0,001

Prevalence of depression in the population aged 65 and over by gender

PHQ-8 scorFemalesMalesTotalp
n%n%n%
0–4 (none depressive)133066.1123580.8265672.5<0.001
5–9 (mild depresive)42721.219412.762117.5
10–24 (depressive episode)25512.7996.535410.0
10–14 (moderate)1497.4563.72055.8
15–19 (moderately severe)653.2281.8932.6
20–24 (severe)412.1151.0561.6
Average value of score2.64.13.5<0.001

Prevalence of depression and health status of the respondents

PHQ-8 scorNo symptoms of depressionModerate symptoms of depressionDepressive episodep*
n%n%n%
Self-assessment of health
good74794.6405.130.4<0.001
moderate112384.216812.6433.2
poor69549.141329.230821.8
Limitations in everyday activities
no limitations184388.91969.5351.7<0.001
limited, but not serious60355.933531.114013.0
seriously limited4236.83026.34236.8
The presence of bodily pain
didn’t have a pain107990.7847.1262.2<0.001
weak pain moderate pain546 57879.5 22.5105 21615.3 34.836 735.2 20.6
strong and very strong pain36245.421627.121927.5
The impact of pain on daily activities
not at all214872510.272.8<0.001
lightly and moderate98071.230622.2906.5
high and very high29240.120628.323131.7
Chronic diseases / conditions
no chronic diseases39093.3204.881.9<0.001
have one chronic disease60189.7517.6182.7
have two or more chronic diseases157464.255022.432813.4

Prevalence of depression and demographic and socio-economic characteristics of the respondents

PHQ-8 scorNo symptoms of depressionModerate symptoms of depressionDepressive episodep*
n%n%n%
Age (years)
65–74150176.831516.11397.1<0.001
75–8494568.227119.616912.2
85+11959.53517.54623.0
Marital status
Single2660.5920.9818.6<0.001
Married152172.430915.71356.9
Widowed94366.228419.919813.9
Separated/Divorced7570.11917.81312.1
Education
Elementary school or lower126964.942521.726213.4<0.001
Middle school88179.815413.9696.3
High school/College or higher41586.5428.8234.8
Employment status
employed22959.810527.44912.8<0.001
unemployed6867.31615.81716.8
inactive226874.250016.42889.4
Well-being index
Poor class132166.940920.724512.4<0.001
Middle class46974.310416.5589.2
Rich class7578310811.6515.5
Place of residence
Urban147177.328314.91497.8<0.001
Rural109466.833820.620512.5
Social support
strong2580.639.739.7<0.001
moderate29161.89620.48417.8
poor184960.852218.266721.9

Odds ratios (OR) and 95% confidence intervals (CI) for the depression depending on health caracteristics

Univariate modelMultivariate model
OR (95%CI)pOR(95%CI)p
Self-assessment of health
good11
average3.264 (2.322–4.589)< 0,0011.561 (1.010–2.411)0.045
poor18.022 (13.027–24.932)< 0,0013.495 (2.276–5.365)< 0,001
Limitations in everyday activities
no limitations11
limited, but not serious6.285 (5.238–7.540)< 0,0012.995 (2.389–3.756)< 0,001
seriously limited13.867 (9.268–20.760)< 0,0016.846 (4.047–11.582)< 0,001
Chronic diseases / conditions
no chronic diseases1
have one chronic disease1.599 (1.012–2.526)0.4491.499 (0.743–3.026)0.258
have two or more chronic diseases7.770 (5.249–11.501)< 0,0013.109 (1.640–5.891)0.001
The presence of bodily pain
didn’t have a pain1
weak / moderate pain3.756 (2.995–4.702)< 0,0011.276 (0.957–1.700)0.046
strong and very strong pain11.787 (9.266–14.995)< 0,0013.710(1.619–5.826)0.001
The impact of pain on daily activities
not at all11
lightly and moderate2.702 (1.831–3.989)< 0,0011.614 (0.978–2.663)0.061
high and very high10.008 (6.709–14.930)< 0,0011.319 (0.863–2.015)0.201
DOI: https://doi.org/10.1515/sjecr-2017-0065 | Journal eISSN: 2956-2090 | Journal ISSN: 2956-0454
Language: English
Page range: 327 - 335
Submitted on: Nov 7, 2017
|
Accepted on: Nov 16, 2017
|
Published on: Dec 31, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Svetlana Radevic, Nela Djonovic, Natasa Mihailovic, Ivana Simic Vukomanovic, Katarina Janicijevic, Marija Sekulic, Sanja Kocic, published by University of Kragujevac, Faculty of Medical Sciences
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.