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Centre for Policy on Ageing | |
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Late-life depression in Peru, Mexico and Venezuela
— the 10/66 population-based study | | Author(s) | Mariella Guerra, Cleusa P Ferri, Ana L Sosa |
| Corporate Author | 10/66 Dementia Research Group |
| Journal title | British Journal of Psychiatry, vol 195, no 6, December 2009 |
| Pages | pp 510-515 |
| Source | http://bjp.rcpsych.org |
| Keywords | Depression ; Evaluation ; Cross sectional surveys ; Peru ; Mexico ; Venezuela. |
| Annotation | The prevalence and correlates of late-life depression, associated disability and access to treatment in five locations in Latin America were estimated in a one-phase cross-sectional survey of 5886 people aged 65+ from urban and rural locations in Peru and Mexico and an urban site in Venezuela. Depression was identified according to DSM-IV and ICD-10 criteria, Geriatric Mental State-Automated Geriatric Examination for Computer Assisted Taxonomy (GMS-AGECAT) algorithm and EURO-D cut-off point. Poisson regression was used to estimate the independent associations of sociodemographic characteristics, economic circumstances and health status with ICD-10 depression. For DSM-IV major depression, overall prevalence varied between 1.3% and 2.8% by site; for ICD-10 depressive episode, between 4.5% and 5.1%; for GMS-AGECAT depression, between 30.0% and 35.9%; and for EURO-D depression, between 26.1% and 31.2%. Therefore, there was a considerable prevalence of clinically significant depression beyond that identified by ICD-10 and DSM-IV diagnostic criteria. Most older people with depression had never received treatment. Limiting physical impairments and a past history of depression were the two most consistent correlates of the ICD-10 depressive episode. The treatment gap poses a significant challenge for Latin American health systems, with their relatively weak primary care services and reliance on private specialists. Local treatment trials could establish the cost-effectiveness of mental health investment in the government sector. (KJ/RH). |
| Accession Number | CPA-100223201 A |
| Classmark | ENR: 4C: 3KB: 7WD: 7TY: 7WJ |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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