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Depressive symptoms, chronic medical conditions and functional status
 — a comparison of urban and rural elders in Taiwan
Author(s)Herng-Chia Chiu, Chun-Min Chen, Chun-Jen Huang
Journal titleInternational Journal of Geriatric Psychiatry, vol 20, no 7, July 2005
Pagespp 635-644
Sourcehttp://www.interscience.wiley.com
KeywordsDepression ; Symptoms ; Chronic illness ; Self care capacity ; Rural areas ; Urban areas ; Comparison ; Taiwan.
AnnotationIt was hypothesised that strong relations between chronic medical conditions, functional status and the manifestation of depression would be evident; and that the interrelationship would differ in urban and rural populations. The Chinese version of the Geriatric Depression Scale (GDS) was used with a study sample of older people recruited in a community survey in 2001 in southern Taiwan. Univariate and logistic regression analyses were performed to identify the predictors for depressive symptoms in urban and rural samples. 20.1% of urban elders and 12.8% of rural elders were classified with depressive symptoms. While controlling for socio-demographics, the prevalence of chronic disease and ADL summary scores were consistently associated with depressive symptoms for urban and rural samples. Cardiovascular disease and hip fracture were significantly predictive of depression for the urban sample, whereas the influence of stroke history was found to be predictive of depression in the rural sample. The findings confirm urban-rural differences in the reporting of associations between depressive symptoms, chronic medical conditions and functional ability. These differences should be borne in mind when developing prevention programmes. (RH).
Accession NumberCPA-050906210 A
ClassmarkENR: CT: CI: CA: RL: RK: 48: 7DP

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