Screening for depressive symptoms in older adults in the Family Health Strategy, Porto Alegre, Brazil

Revista de Saúde Pública

Eduardo Lopes Nogueira¹  Leonardo Librelotto Rubin¹  Sara De Souza Giacobbo¹  Irenio Gomes¹  Alfredo Cataldo Neto¹ 

关键词: Aged;    Depression;    epidemiology;    Family Health Strategy;    Mental Health Services;    Manpower;    Cross-Sectional Studies;    Idoso;    Depressão;    epidemiologia;    Estratégia Saúde da Família;    Serviços de Saúde Mental;    recursos humanos;    Estudos Transversais;   

DOI  :  10.1590/S0034-8910.2014048004660

来源: SciELO

【 摘 要 】

OBJECTIVETo analyze the prevalence of depression in older adults and associated factors. METHODSCross-sectional study using a stratified random sample of 621 individuals aged ≥ 60 from 27 family health teams in Porto Alegre, RS, Southern Brazil, between 2010 and 2012. Community health agents measured depression using the 15-item Geriatric Depression Scale. Scores of ≥ 6 were considered as depression and between 11 and 15 as severe depression. Poisson regression was used to search for independent associations of sociodemographic and self-perceived health with both depression and its severity. RESULTSThe prevalence of depression was 30.6% and was significantly higher in women (35.9% women versus 20.9% men, p < 0.001). The variables independently associated with depression were: female gender (PR = 1.4, 95%CI 1.1;1.8); low education, especially illiteracy (PR = 1.8, 95%CI 1.2;2 6); regular self-rated health (OR = 2.2, 95%CI 1.6;3.0); and poor/very poor self-rated health (PR = 4.0, 95%CI 2.9;5.5). Except for education, the strength of association of these factors increases significantly in severe depression. CONCLUSIONSA high prevalence of depression was observed in the evaluations conducted by community health agents, professionals who are not highly specialized. The findings identified using the 15-item Geriatric Depression Scale in this way are similar to those in the literature, with depression more associated with low education, female gender and worse self-rated health. From a primary health care strategic point of view, the findings become still more relevant, indicating that community health agents could play an important role in identifying depression in older adults.

【 授权许可】

CC BY   
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