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

Date
2016Author
Guerra, Mariella
Prina, A. M.
Ferri, Cleusa Pinheiro [UNIFESP]
Acosta, Daisy
Gallardo, S.
Huang, Yueqin
Jacob, K. S.
Jimenez-Velazquez, I. Z.
Rodriguez, Juan J. Llibre
Liu, Z.
Salas, Aquiles
Sosa, Ana Luisa
Williams, Joseph D.
Uwakwe, R.
Prince, Martin
Type
ArtigoISSN
0165-0327Is part of
Journal Of Affective DisordersDOI
10.1016/j.jad.2015.09.004Metadata
Show full item recordAbstract
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.
Citation
Journal Of Affective Disorders. Amsterdam, v. 190, p. 362-368, 2016.Keywords
DepressionPrevalence
Icd-10
Euro-D
Older-AgeGeriatric Mental State
Older-People
Bambui Health
Euro-D
Symptoms
Community
China
Populations
Validation
Diagnosis
Sponsorship
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)
Collections
- EPM - Artigos [17701]