Depressive symptoms and self-rated health among Brazilian older adults: baseline data from the ELSI-Brazil study
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Fecha
2024-04
Profesor/a Guía
Facultad/escuela
Idioma
en
Título de la revista
ISSN de la revista
Título del volumen
Editor
Associacao Brasileira de Psiquiatria
Nombre de Curso
Licencia CC
Attribution-NonCommercial 4.0 International
Licencia CC
https://creativecommons.org/licenses/by-nc/4.0/
Resumen
OBJECTIVE: To investigate whether having a higher number of depressive symptoms is associated with negative self-rated health (SRH) even in the absence of illness.
METHODS: This is a secondary analysis of baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), conducted in 2015-2016, using a national sample of 9,412 people aged 50 or over. SRH was dichotomized into poor or very poor and very good or excellent, good, or average. Depressive symptoms were assessed through the eight-item Center for Epidemiologic Studies Depression Scale (CES-D8). Sociodemographic variables, information about unhealthy behaviors, and the number of chronic conditions were also analyzed.
RESULTS: Having depressive symptoms was strongly associated with poor or very poor SRH both in the unadjusted and adjusted analyses. The magnitude of the association was reduced when the number of chronic illnesses was included in the multivariate analysis, along with the other sociodemographic variables and unhealthy behaviors (OR 1.35, 95%CI 1.31-1.39).
CONCLUSION: Having depressive symptoms may contribute towards having a poorer perception of health, even in the absence of health conditions. SRH is a multidimensional construct that can accurately reflect a person's state of general mental health.
Notas
Indexación: Scopus
Palabras clave
Self-rated health, depressive symptom, depression, older adult, health
Citación
Brazilian Journal of Psychiatry Volume 46 2024 Article number e20233331
DOI
10.47626/1516-4446-2023-3331