Chronic diseases, depressive symptoms and functional limitation amongst older people in rural Malaysia, a middle income developing country

Hairi, N.N.; Bulgiba, A.; Mudla, I.; Said, M.A. (2011) Chronic diseases, depressive symptoms and functional limitation amongst older people in rural Malaysia, a middle income developing country. Preventive Medicine, 53 (4-5). pp. 343-346. ISSN 0091-7435

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    Abstract

    Objectives. To determine prevalence and prevalence ratio of functional limitation amongst older people with combined chronic diseases and co-morbid depressive symptoms compared with older people with either chronic disease or depressive symptoms alone. Methods. Data were analysed from a cross-sectional study of 765 people aged 60 years and over, conducted from 2007 to 2008 in Malaysia. Chronic diseases were self-reported, depressive symptoms were measured using the Geriatric Depression Scale and functional limitation was assessed using the Tinetti Performance Oriented Mobility Assessment Tool. Results. A higher proportion of older people with combined chronic diseases and depressive symptoms reported having functional limitation (44.7) compared with older people with chronic diseases alone (12.5) and depressive symptoms alone (18.1). Adjusting for socio-demographic characteristics, cognitive status and living arrangements, chronic diseases were associated with functional limitation (PR 2.21, 95 CI 1.31, 3.72). Depressive symptoms were also associated with functional limitation (PR 2.07,95 CI 1.56, 2.76). The prevalence ratio for functional limitation was much greater for combined chronic diseases and depressive symptoms (PR 4.09, 95 CI 2.23, 7.51). Conclusions. Older people with combined chronic diseases and depressive symptoms are more likely to have functional limitation than those with chronic disease or depressive symptoms alone. (C) 2011 Elsevier Inc. All rights reserved.

    Item Type: Article
    Creators:
    1. Hairi, N.N.
    2. Bulgiba, A.(Department of Social and Preventive Medicine, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    3. Mudla, I.
    4. Said, M.A.
    Journal or Publication Title: Preventive Medicine
    Additional Information: Hairi, Noran N. Bulgiba, Awang Mudla, Izzuna Said, Mas Ayu -----> Suggested Citation : Hairi NN, Bulgiba A, Mudla I, Said MA. Chronic diseases, depressive symptoms and functional limitation amongst older people in rural Malaysia, a middle income developing country. Preventive Medicine. 2011 Oct-Nov;53(4-5):343-6.
    Uncontrolled Keywords: Chronic diseases, Depressive symptoms, Functional limitation, Older people
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Awang Bulgiba Awang Mahmud
    Date Deposited: 09 May 2012 15:03
    Last Modified: 09 May 2012 15:03
    URI: http://eprints.um.edu.my/id/eprint/3060

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