Next Article in Journal
Increasing Rates of Brain Tumours in the Swedish National Inpatient Register and the Causes of Death Register
Next Article in Special Issue
The Impact of Living in a Care Home on the Health and Wellbeing of Spinal Cord Injured People
Previous Article in Journal
Exposure to Airborne Particles and Volatile Organic Compounds from Polyurethane Molding, Spray Painting, Lacquering, and Gluing in a Workshop
Previous Article in Special Issue
Longitudinal Changes in Functioning and Disability in Patients with Disorders of Consciousness: The Importance of Environmental Factors
Article Menu

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2015, 12(4), 3774-3792; doi:10.3390/ijerph120403774

Cross-Sectional Associations of Depressive Symptom Severity and Functioning with Health Service Use by Older People in Low-and-Middle Income Countries

1
Faculty of Social and Human Sciences, School of Psychology, University of Southampton, Southampton SO17 1BJ, UK
2
Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK
3
Research Unit for Biopsychosocial Health, Department of Medical Informatics, Biometry and Epidemiology—IBE, Ludwig-Maximilians-University (LMU), Munich 81377, Germany
4
Swiss Paraplegic Research (SPF), Nottwil 6207, Switzerland
5
Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 31 December 2014 / Revised: 13 March 2015 / Accepted: 25 March 2015 / Published: 2 April 2015
(This article belongs to the Special Issue Disability and Public Health)
View Full-Text   |   Download PDF [700 KB, uploaded 2 April 2015]

Abstract

Background: Comprehensive understanding of the determinants of health service use (HSU) by older people with depression is essential for health service planning for an ageing global population. This study aimed to determine the extent to which depressive symptom severity and functioning are associated with HSU by older people with depression in low and middle income countries (LMICs). Methods: A cross-sectional analysis of the 10/66 Dementia Research Group population-based surveys dataset. Participants (n = 4590) were those aged 65 or older, in the clinical range for depressive symptoms (defined as scoring four or more on the EURO-D), living in 13 urban and/or rural catchment areas in nine LMICs. Associations were calculated using Poisson regression and random-effects meta-analysis. Results: After adjustment for confounding variables, (EURO-D) depressive symptom severity was significantly associated with “any community HSU” (Pooled Prevalence Ratios = 1.02; 95% CI = 1.01–1.03) but not hospital admission. Conversely, after adjustment, (WHODAS-II) functioning was significantly associated with hospital admission (Pooled PR = 1.14; 95% CI = 1.02–1.26) but not “any community HSU”. Conclusions: Depressive symptom severity does not explain a large proportion of the variance in HSU by older people with depression in LMICs. The association of functioning with this HSU is worthy of further investigation. In LMICs, variables related to accessibility may be more important correlates of HSU than variables directly related to health problems. View Full-Text
Keywords: depression; functioning; health service use; low-and-middle income countries; cross-sectional depression; functioning; health service use; low-and-middle income countries; cross-sectional
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Twomey, C.D.; Prince, M.; Cieza, A.; Baldwin, D.S.; Prina, A.M. Cross-Sectional Associations of Depressive Symptom Severity and Functioning with Health Service Use by Older People in Low-and-Middle Income Countries. Int. J. Environ. Res. Public Health 2015, 12, 3774-3792.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top