Prevalence of Depression and its Sociodemographic Determinants in Elderly Population among Inhabitants of Old Age Homes in Western Maharashtra

Abstract Introduction: Aging is a normal, inevitable biological phenomenon. Due to improvements in health care, better drugs, and all-round socioeconomic development, there has been an increase in number of elderly people. However, a lack of family care and support has led to an increasing number of elderly people seeking care in old age homes. Depression in older adults, although prevalent, is underdiagnosed and undertreated. It has serious implications for patient, family, and community. Aims and objectives of the study: (1) To estimate the prevalence of depression among elderly people in old age homes. (2) To study sociodemographic, health-related, and social variables among inmates of old age homes. (3) To find out the relation of sociodemographic, health-related, and social variables with depression among elderly people. Materials and Methods: A cross-sectional study was done in old age homes in the field practice area of tertiary health care institutions in urban Maharashtra. The sample size was calculated to be 166. Out of total 258 inmates of 8 old age homes, 166 elderly who consented were included after permission from authorities. Data were collected using pre-tested questionnaire and Geriatric Depression Scale 15 (GDS-15). Results: Majority of inmates belonged to the age group of 71–80 years; 53.01% were females. 46.99% rated their health as good. 60.24% had satisfactory sleep. 23.49% were consuming tobacco or alcohol. 87.95% of the elderly were suffering from chronic illnesses. 92.77% were satisfied with their living conditions. 50.77% had conflicts with their children, and 88.55% of the elderly had themselves shifted to old age homes. 69.88% of respondents were depressed, as per GDS-15. Female gender, presence of chronic morbidities, and less social interaction or hobbies had a significant association with late-life depression. Conclusion: There is a need for improved and targeted integrated-care approaches that are community-based and designed around the needs of older persons.