Guerra M, Prina A, Ferri C, Acosta D, Gallardo S, Huang Y, Jacob K, Jimenez-Velazquez I, Llibre Rodriguez J, Liu Z, Salas A, Sosa A, Williams J, Uwakwe R, Prince M. A comparative cross-cultural study of the prevalence of late life depression in low and middle income countries.
J Affect Disord 2016;
190:362-368. [PMID:
26544620 PMCID:
PMC4679114 DOI:
10.1016/j.jad.2015.09.004]
[Citation(s) in RCA: 82] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 08/19/2015] [Accepted: 09/05/2015] [Indexed: 11/21/2022]
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 ICD-10 and EURO-D criteria.
RESULTS
Depression prevalence varied across sites according to diagnostic criteria. The lowest prevalence was observed for ICD-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. ICD-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.
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