Unsafe house environment influencing on depression in the elderly in Thailand
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The house environment has a contribution to the prevalence of depression in the elderly. Unsafe house environment tend to enhance the depressive conditions of the elderly. This study was conducted to determine prevalence of depression, and to examine if unsafe house environment influencing on depression in the elderly in Thailand. A national cross-sectional survey which the data collection was conducted from December 2012 to April, 2013 was employed in this study. A total of 4,564 elderly was selected by the multi-stage random sampling. Chi-square tests and multiple logistic regression were used to examine associations between independent variables and depression in the elderly. The researcher found that the prevalence of depression within the last 2 weeks in the elderly was 30.6%. Chi square tests detected the factors significantly associated with depression in the elderly were age groups, sex, education levels, marital status, occupation, types of family, religion, income per month, economic self-reliance, safe house environment, quality of life, family relationship, having a disease and daily life activities. In multiple logistic regression, low income per month (Adj. OR=1.29, 95% CI=1.05-1.59), little economic self-reliance (Adj. OR=1.89, 95% CI=1.27-2.80), poor quality of life (Adj. OR=7.26, 95% CI= 4.16-12.66), fair quality of life (Adj. OR=2.81, 95% CI=2.01-3.92), having a disease (Adj. OR=1.69, 95% CI=1.37-2.09), needed assistance for daily life activities (Adj. OR=1.61, 95% CI=1.19-2.18) and unsafe house environment (Adj. OR=2.03, 95% CI=1.59-2.61) were still remained as the significant risk factors for depression in the elderly. After adjusting for other factors, the elderly who lived in the unsafe house environment were about 2 times more likely to get depression than those living in the safe house environment. The findings indicate that providing job opportunity to generate income for poor elderly should be widely promoted across the country. The local authority should take more responsibility in making the house environment more safe for the elderly.
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ทัศนะและความคิดเห็นที่ปรากฏในบทความในวารสาร ถือเป็นความรับผิดชอบของผู้เขียนบทความนั้น และไม่ถือเป็นทัศนะและความรับผิดชอบของกองบรรณาธิการ ยินยอมว่าบทความเป็นลิขสิทธิ์ของวารสาร
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