Depression among older adults in Indonesia: Prevalence, role of chronic conditions and other associated factors

Background: Depression is one of the most common illnesses worldwide, with a prevalence of 5.7% among older adults aged over 60. Depression is a severe health condition that can significantly affect the quality of life. Objective: The objective of this study is to investigate the determinant factors of depression among older adults in Indonesia. Methods: Data of 4236 adults of 60 years old and over were taken from the fifth wave of the Indonesian Family Life Survey (IFLS-5). Sociodemographic and multiple health-related variables collected through interviews and measurements were analyzed. Multivariate logistic regression was used to evaluate depression and its associated factors. Results: The prevalence of depression assessed using ten questions from the Center for Epidemiologic Studies Depression Scale (CES-D 10) was 16.3%. Significant associated factors for depression were moderate and low subjective economic status, living in Java or other regions outside Sumatra and Java, no life satisfaction, self-perceived as having poor health, having dependency (IADL scores), and experienced falls and insomnia. Among chronic conditions, stroke, arthritis, and hearing impairment were also more common in depressed older adults. Conclusion: Predictors of depression identified in this study may be used to help prevent and improve depression in Indonesian older adults, especially those who live on Java. Improvement in healthcare, especially in the prevention and rehabilitation of stroke, arthritis, possible frailty (falls and dependency), hearing impairment, and insomnia, concurrent with early detection of depression in these chronic conditions, may help create a better quality of life among Indonesian older adults.

Indonesia, Indonesian Family Life Survey, depression, older adults, Associated factors, Health condition, Prevalence, Chronic condition, Depression, Older adults

10.2174/17450179-v18-e2207010

1745-0179

Handajani, Yvonne Suzy

ce79656a-4c33-4d30-a1d1-cd96b90a21aa

Schröder-Butterfill, Elisabeth

b10e106a-4d5d-4f41-a7d2-9549ba425711

Hogervorst, Eef

d3cb1ae1-86b7-47d4-84b2-d124fddb0c30

Turana, Yuda

293428e7-5414-49fe-8ae4-5941630330ae

Hengky, Antoninus

44fcbb3d-968d-46aa-8214-4d67b2a120ef

29 September 2022

Handajani, Yvonne Suzy

ce79656a-4c33-4d30-a1d1-cd96b90a21aa

Schröder-Butterfill, Elisabeth

b10e106a-4d5d-4f41-a7d2-9549ba425711

Hogervorst, Eef

d3cb1ae1-86b7-47d4-84b2-d124fddb0c30

Turana, Yuda

293428e7-5414-49fe-8ae4-5941630330ae

Hengky, Antoninus

44fcbb3d-968d-46aa-8214-4d67b2a120ef

Handajani, Yvonne Suzy, Schröder-Butterfill, Elisabeth, Hogervorst, Eef, Turana, Yuda and Hengky, Antoninus (2022) Depression among older adults in Indonesia: Prevalence, role of chronic conditions and other associated factors. Clinical Practice and Epidemiology in Mental Health, 18 (1), [e174501792207010]. (doi:10.2174/17450179-v18-e2207010).

Record type: Article

Abstract

Text

Depression paper accepted - Accepted Manuscript

Available under License Creative Commons Attribution.

Download (75kB)

More information

Accepted/In Press date: 1 April 2022

e-pub ahead of print date: 5 September 2022

Published date: 29 September 2022

Additional Information: Funding Information: The authors gratefully acknowledge RAND for giving them access to the IFLS-5 data (https://www.rand.org/ well-being/social-and-behavioral-policy/data/FLS/IFLS.html), and the Economic and Social Research Council (ESRC), UK, for the financial support via its research project funding for Care Networks in Indonesia (Project ES/S013407/1). Funding Information: This study was funded by the Economic and Social Research Council (ESRC). Publisher Copyright: © 2022 Handajani et al.

Keywords: Indonesia, Indonesian Family Life Survey, depression, older adults, Associated factors, Health condition, Prevalence, Chronic condition, Depression, Older adults