Document Type
Article (Restricted)
Publication Date
1-1-2011
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.
Keywords
Chronic diseases, Depressive symptoms, Functional limitation, Older people
Divisions
fac_med
Publication Title
Preventive Medicine
Volume
53
Issue
4-5
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.