Prevalence and determinants of dementia and depression among elderly in Kaski.

ABSTRACT: Dementia and depression are among the leading causes of disability and dependence in the elderly population, and they constitute a major economic burden for public health systems. Descriptive cross sectional study design was adopted to determine the prevalence and determinants of dementia...

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Bibliographic Details
Main Author: Paudel, Kalpana
Format: Book
Language:English
Published: NA.
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Online Access:Visit NHRC Library
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100 |a Paudel, Kalpana.  |9 4760 
245 |a Prevalence and determinants of dementia and depression among elderly in Kaski. 
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500 |a Research Report. 
520 |a ABSTRACT: Dementia and depression are among the leading causes of disability and dependence in the elderly population, and they constitute a major economic burden for public health systems. Descriptive cross sectional study design was adopted to determine the prevalence and determinants of dementia and depression among elderly in Kaski. Elderly aged 60 years and above were the study population. Cluster random sampling technique was used. A total of 450 elderly were taken as sample for the study. Face to face interview was taken by using structured questionnaire. The findings show that (55.6%) belonged to age groups 60-69 years with mean age of 70.08±8.314 years, (55.1%) were female, (75.1%) were married, (37.8%) were illiterate, 32.9% were engaged in agriculture, 80.9% of the elderly get financial support, 70.3% had comorbidities and the most commonly reported co-morbidity was cardiac problem (20.6%). The prevalence of dementia and depression among elderly are (44.7%) and (53.6%) respectively. There is statistically significant association between sex, marital status, education, income and activity of daily living with depression. Illiterate elderly have two times higher risk of developing depression than literate. Dependent elderly are two times more likely to have depression than independent. Age, sex, marital status, education, income, activity of daily living and depression were associated with dementia. Middle old and old old elderly have 2 times and 5 times higher risk of developing dementia than young old elderly respectively. Female elderly have 2 times more risk of getting dementia than male elderly. Likewise, illiterate elderly have almost two time higher risk of developing dementia than literate. Dependent elderly are nearly four two times more likely to have dementia than independent. Elderly having depression are five times more risk of getting dementia than the elderly not having depression. It is concluded that the prevalence of depression and dementia among elderly is around half of the elderly population. Sex, marital status, education, income and activity of daily living are associated with depression. Likewise, dementia is significantly associated with age, sex, marital status, educational status, income, activity of daily living and depression. For the groups with high risk of depression and dementia, promoting healthy life style with screening for early detection, could not only prevent depression and dementia, but also improves the quality of life of the elderly.  
650 |a Prevalence.  |9 998 
650 |a Dementia.  |9 2197 
650 |a Depression.  |9 935 
650 |a Elderly.  |9 1961 
650 |a Kaski.  |9 4465 
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