FACTORS ASSOCIATED WITH DEPRESSION AMONG ELDERLY PEOPLE LIVING IN FORMAL INSTITUTIONS OF YANGON CITY, MYANMAR
Background: Depression is one of the commonest mental illnesses among the elderly population which involves symptoms ranges from feeling of sadness to suicidal ideation. This study aimed to determine the contributing factors towards depression among the elderly people living in the formal institutions in Yangon City, Myanmar.
Methodology: A cross sectional study involving 437 elderly living in 6 different formal institutions in Yangon City, Myanmar was conducted. A face-to face interview was conducted with each respondent using validated questionnaire, consisted of 8 sections namely, socio-demographic factors, social support received from family members and friends, history of chronic disease, duration of stay in formal institution, dependency level, reason for admission into formal institutions, past history of resolved depression and Geriatric Depression Scale. Data were analysed using SPSS version 21 involving descriptive analysis, chi square and multiple logistic regression.
Result: Majority of the respondents were aged between 75 to 84 years, female, Burmese, and single. The prevalence of depression was 41.4%. Several factors were found to significantly associate with depression such as age (c2=6.16, P<0.05), marital status (c2=27.47, P<0.001), social support received from family members (c2=6.41, P<0.007), social support received from friends (c2=57.45, P<0.001) and dependency level (c2=5.43, P<0.20). However, the final model only showed that age of 75 to 84 (OR=3.74, 95%CI: 2.00-6.99) and 85 years old and above (OR=14.95, 95%CI:4.69-47.67) and also social support received from friends (OR=7.77, 95%CI:3.95-15.25) were the only significant predicting factors towards development of depression among elderly living in the formal institutions in Yangon City.
Conclusion: The findings revealed that the prevalence of depression among the respondents was considerably high. This study reflects the importance role of having friends around in order to provide social support and prevent the occurrence of depression among elderly. Specific prevention program to reduce the depression for older people living in formal institutions of Yangon City, Myanmar should also be designed and implemented effectively by the relevant authorities.
Keywords: Depression, Elderly, Formal Institution, Yangon, Myanmar.