The influence of multi-morbidity and self-reported socio-economic standing on the prevalence of depression in an elderly Hong Kong population

Wong, Samuel Y. S.; Mercer, Stewart W.; Woo, Jean; Leung, Jason
January 2008
BMC Public Health;2008, Vol. 8 Issue 1, p119
Academic Journal
Background: There has been an increasing prevalence of both depression and chronic medical conditions globally but the relationship between depression and multi-morbidity is not well understood. The aim of the present study was to investigate the relationship between depression, multi-morbidity (number of chronic medical conditions, and measures of socioeconomic standing (SES) in an elderly Hong Kong population. Methods: Cross sectional study. Information on clinically relevant depressive symptoms, measured by the Geriatric Depression Scale (GDS), and demographic and chronic medical conditions were collected using standardized questionnaires. Information collected on SES included educational status (ES), maximum ever income (MEI), and self-perceived social standing in local community (SES-COM) and in Hong Kong generally (SES-HK). Analysis was conducted using multiple logistic regression Results: Depression rates were similar in men and women (GDS caseness 8.1% vs 8.4%). Multimorbidity of chronic medical conditions was common (40% of men and 46% of women had three or more). In the overall sample, the prevalence of depression was associated with the number of chronic medical conditions (OR 1.27; CI: 1.16-1.39). In addition, SES-HK and SES-COM were significant independent variables. Conclusion: In this elderly Hong Kong population, depression prevalence rose markedly with number of chronic medical conditions and SES-HK and SES-COM.


Related Articles

  • Subjective memory complaints in the elderly: depressive symptoms and future dementia. Schmand, Ben; Jonker, Cees; Geerlings, Miriam I.; Lindeboom, Jaap; Schmand, B; Jonker, C; Geerlings, M I; Lindeboom, J // British Journal of Psychiatry;Oct97, Vol. 171, p373 

    Background: Population studies indicate that subjective memory complaints by elderly people are correlated with cognitive performance. These complaints have some predictive power regarding the development of dementia. The present study attempted to replicate this finding, and...

  • Depression in the Long-Term Care Setting. Huffman, Grace Brooke // American Family Physician;5/15/2002, Vol. 65 Issue 10, p2131 

    Presents information on a study by M.N. Brown and others on depression among elderly patients living in nursing homes. Description of the study and its results; Recommendations for the treatment of elderly patients with depression.

  • Socioeconomic status and survival among older adults with dementia and depression. Ruoling Chen; Zhi Hu; Li Wei; Wilson, Kenneth // British Journal of Psychiatry;Jun2014, Vol. 204 Issue 6, p436 

    Background People from lower socioeconomic groups have a higher risk of mortality. The impact of low socioeconomic status on survival among older adults with dementia and depression remains unclear. Aims To investigate the association between socioeconomic status and mortality in people with...

  • Self-perceived memory impairment and cognitive performance in an elderly independent population with age-related white matter changes. Miranda, B; Madureira, S; Verdelho, A; Ferro, J; Pantoni, L; Salvadori, E; Chabriat, H; Erkinjuntti, T; Fazekas, F; Hennerici, M; O'Brien, J; Scheltens, P; Visser, M C; Wahlund, L-O; Waldemar, G; Wallin, A; Inzitarion, D // Journal of Neurology, Neurosurgery & Psychiatry;Aug2008, Vol. 79 Issue 8, p869 

    Objectives: To determine whether self-perceived memory impairment is associated with the severity of white matter changes )WMC) and is related to cognitive impairment. Methods: Data were drawn from the multinational Leukoaraiosis and Disability Study (LADIS), which investigates the impact of WMC...

  • Association of hypotension with positive and negative affect and depressive symptoms in the elderly. Jorm, Anthony F.; Jorm, A F // British Journal of Psychiatry;Jun2001, Vol. 178, p553 

    Background: Previous research associating hypotension with depression has produced inconsistent results. A possible reasons is that depressive symptom scales reflect both high negative affect and low positive affect.Aims: To examine the association of hypotension with...

  • Follow-up study of depression in the elderly. Halloran, Eleanor; Prentice, Neil; Murray, Catherine L.; O'Carroll, Ronan E.; Glabus, Michael F.; Goodwin, Guy M.; Ebmeier, Klaus P. // British Journal of Psychiatry;Sep99, Vol. 175, p252 

    Background Imaging studies in depression of the elderly are often small and highly selective. Aims To investigate a large group of elderly depressed patients in order to assess changes in clinical, imaging and neuropsychological variables at follow-up. Method Patients (n=175, age range 65-91...

  • Functional disability and morbidities among the elderly people, according to socio-demographic conditions and indicative of depression. Ferreira Agreli, Bárbara; Aparecida Dias, Flavia; dos Santos Ferreira, Pollyana Cristina; Gomes, Nayara Cândida; dos Santos Tavares, Darlene Mara // Investigacion & Educacion en Enfermeria;2017, Vol. 35 Issue 1, p48 

    Objectives. To investigate the association of functional incapacity and the number of morbidities with sociodemographic, economic and health variables. Methods. This is a household survey, quantitative and transversal approach, conducted with 1,693 elderly in Uberaba-MG in 2012. We used the...

  • Escala de Yesavage para Depresión Geriátrica (GDS-15 y GDS-5): estudio de la consistencia interna y estructura factorial. Gómez-Angulo, Carine; Campo-Arias, Adalberto // Universitas Psychologica;Sep-Dec2011, Vol. 10 Issue 3, p735 

    The Geriatric Depression Scale (GDS), 5 and 15-items version, are useful for identify depressive symptoms among elder people. However, psychometric properties of a version of five items has not explored among colombian elders. The aim of this paper was to study the internal consistency, the...

  • Exploring the links between depression, integrity, and hope in the elderly. Chimich, William T.; Nekolaichuk, Cheryl L. // Canadian Journal of Psychiatry;Jul2004, Vol. 49 Issue 7, p428 

    Objective: To explore the links between depression, integrity, and hope in the elderly.Method: For this pilot study, we recruited a voluntary sample of cognitively intact elderly patients receiving psychiatric care (n = 35). Recruitment sources included an inpatient...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics