A comparative cross-cultural study of the prevalence of late life depression in low and middle income countries

A comparative cross-cultural study of the prevalence of late life depression in low and middle income countries

Author Guerra, Mariella Google Scholar
Prina, A. M. Google Scholar
Ferri, Cleusa Pinheiro Autor UNIFESP Google Scholar
Acosta, Daisy Google Scholar
Gallardo, S. Google Scholar
Huang, Yueqin Google Scholar
Jacob, K. S. Google Scholar
Jimenez-Velazquez, I. Z. Google Scholar
Rodriguez, Juan J. Llibre Google Scholar
Liu, Z. Google Scholar
Salas, Aquiles Google Scholar
Sosa, Ana Luisa Google Scholar
Williams, Joseph D. Google Scholar
Uwakwe, R. Google Scholar
Prince, Martin Google Scholar
Abstract Background: Current estimates of the prevalence of depression in later life mostly arise from studies carried out in Europe, North America and Asia. In this study we aimed to measure the prevalence of depression using a standardised method in a number of low and middle income countries (LMIC). Methods: A one-phase cross-sectional survey involving over 17,000 participants aged 65 years and over living in urban and rural catchment areas in 13 sites from 9 countries (Cuba, Dominican Republic, Puerto Rico, Mexico, Venezuela, Peru, China, India and Nigeria). Depression was assessed and compared using LCD-10 and EURO-D criteria. Results: Depression prevalence varied across sites according to diagnostic criteria. The lowest prevalence was observed for LCD-10 depressive episode (0.3 to 13.8%). When using the EURO-D depression scale, the prevalence was higher and ranged from 1.0% to 38.6%. The crude prevalence was particularly high in the Dominican Republic and in rural India. LCD-10 depression was also associated with increased age and being female. Limitations: Generalisability of findings outside of catchment areas is difficult to assess. Conclusions: Late life depression is burdensome, and common in LMIC. However its prevalence varies from culture to culture

its diagnosis poses a significant challenge and requires proper recognition of its expression. (C) 2015 The Authors. Published by Elsevier B.V.
Keywords Depression
Prevalence
Icd-10
Euro-D
Older-AgeGeriatric Mental State
Older-People
Bambui Health
Euro-D
Symptoms
Community
China
Populations
Validation
Diagnosis
Language English
Sponsor Medical Research Council [MR/K021907/1]
Wellcome Trust (UK) [GR066133]
World Health Organization
US Alzheimer's Association [IIRG - 04-1286]
Fondo Nacional de Ciencia Y Tecnologia, Consejo de Desarrollo Cientifico Y Humanistico, Universidad Central de Venezuela (Venezuela)
Grant number The 10/66 Dementia Research Group population based surveys were supported by the Wellcome Trust (UK) (GR066133)
the World Health Organization
the US Alzheimer's Association (IIRG - 04-1286)
and the Fondo Nacional de Ciencia Y Tecnologia, Consejo de Desarrollo Cientifico Y Humanistico, Universidad Central de Venezuela (Venezuela). Matthew Prina is funded by the Medical Research Council [Grant number = MR/K021907/1]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Date 2016
Published in Journal Of Affective Disorders. Amsterdam, v. 190, p. 362-368, 2016.
ISSN 0165-0327 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Bv
Extent 362-368
Origin https://doi.org/10.1016/j.jad.2015.09.004
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000366463000054
URI http://repositorio.unifesp.br/handle/11600/49184

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