Affiliation:
1. Department of Family & Generations International Institute for Population Sciences Mumbai India
2. Department of Sociology Louisiana State University Baton Rouge Louisiana USA
3. Robert N Butler Columbia Aging Center Mailman School of Public Health Columbia University New York New York USA
Abstract
AbstractObjectivesThe interplay between an individual's vulnerability and related stressors, effectively termed as diathesis, is an important contributor towards depressive symptoms. Utilizing the diathesis‐stress model, the present study examines the role of perceived neighborhood safety along with specific indicators of health such as activities of daily living (ADL) and self‐rated health (SRH), and their associations with depressive symptoms among older Indian adults.Study designA cross‐sectional study has been conducted.MethodsData were drawn from the Longitudinal Aging Study in India wave 1 that was collected during 2017–18. The present study is conducted on respondents aged 60 years and above and the sample included 31,464 older adults. Depressive symptoms were assessed using the Short Form Composite International Diagnostic Interview (CIDI‐SF).ResultsIn this study, approximately 14.3% of the older participants reported perceiving their neighborhood as unsafe. A total of 23.77% and 24.21% of older adults reported at least one difficulty in ADL and poor SRH, respectively. Older adults who had perceived their neighborhood as unsafe had higher odds of reporting depressive symptoms [AOR: 1.758, CI: 1.497–2.066] than those with the perception of a safe neighborhood. Those with a perceived unsafe neighborhood and low ADL functioning had approximately 3.3 times higher odds of reporting depressive symptoms [AOR: 3.298, CI: 2.553–4.261] than those with a safe perceived neighborhood and high ADL functioning. Further, older adults with unsafe perceived neighborhood, low ADL functioning and poor SRH had much greater odds of reporting depressive symptoms [AOR: 7.725, CI: 5.443–10.960] than those with a safe perceived neighborhood, high ADL functioning and good SRH. Additionally, depressive symptoms were pronounced among older women and those who resided in rural areas with unsafe perceived neighborhood, low ADL functioning and poor SRH than their male peers.ConclusionsThe findings suggest that older women and rural‐dwelling older adults are more prone to have higher prevalence of depressive symptoms than their male and urban‐dwelling peers, especially when they have an unsafe neighborhood and poor functional and physical health, and thus, they should be given focused care and attention by healthcare practitioners.
Subject
Psychiatry and Mental health,Geriatrics and Gerontology
Reference60 articles.
1. United Nations.World Population Ageing 2019;2019. accessed 13 June 2022.https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Highlights.pdf
2. World Health Organization.Global Health and Aging (NIH Publication No. 11‐7737);2011. accessed 12 July 2022.http://www.who.int/ageing/publications/global_health/en/
3. Chronic Noncommunicable Diseases in 6 Low- and Middle-Income Countries: Findings From Wave 1 of the World Health Organization's Study on Global Ageing and Adult Health (SAGE)
4. The Trajectory of Depressive Symptoms Across the Adult Life Span