Depression and Functional Disability Among Older Adults in Brazil: Analysis of the 2019 National Health Survey

Association between purpose in life and symptoms of depression, anxiety, and stress in community-dwelling older adults: FAPRE study data

PIL in older adults was negatively associated with elevated symptoms of depression, anxiety, and stress, even after controlling for sociodemographic variables and subjective health perception, underscore the need for integrated strategies to promote mental health and purpose in life in aging populations.

Determinants of depression among individuals aged 15 years and older with hypertension (Analysis of Indonesian Health Survey Data 2023)

Background: Depression among hypertension patients leads to low medication adherence and increases morbidity and suicidal ideation. Purpose: To analyze the determinants of depression among hypertension patients. Method: A secondary data analysis study used data from the Indonesian Health Survey in 2023 with a cross-sectional design. The population in this study was hypertensive patients aged 15 years and above in Indonesia. Data analysis was performed using SPSS using the Complex Sample Chi-Square and Logistic Regression statistical tests. Results: The prevalence of depression in hypertension patients was 2.9% (95% CI: 2.6% - 3.3%). Statistically significant variables were age 15-45 years [Adj. POR = 1.93 (95% CI: 1.34 - 2.78)], female [Adj. POR = 1.66 (95% CI: 1.10 - 2.50)], and having a chronic disease [Adj. POR = 2.36 (95% CI: 1.92 – 2.90)], smoking daily [Adj. POR = 2.83 (95% CI: 1.90 – 4.24)], not working [Adj. POR = 1.49 (95% CI: 1.17 – 1.90)], primary education [Adj. POR = 2.30 (95% CI: 1.44 – 3.67)], and not having a partner [Adj. POR = 1.55 (95% CI: 1.24 – 1.93)]. Conclusion: Daily smoking is a dominant factor in the occurrence of depression among people with hypertension. Suggested to people with hypertension pay more attention to their mental health. Please immediately check health screening and quit smoking to prevent depression. Keywords: Depression; Indonesian Health Survey (IHS); Hypertension; Smoking.

Depressive symptoms among older adults in Turkey: Evidence from a nationally representative ageing survey

Depressive symptoms among older adults in Turkey reflect the combined influence of health decline, functional limitations, negative psychosocial perceptions of ageing, and barriers to healthcare access.

A Study on the Depressive Symptoms and Life Satisfaction Among Middle-Aged and Older Adults in China Based on CHARLS 2020 Data

Sleep deprivation, as well as different types of social engagement, physical activity, physical activity, and digital behavior, exhibit distinct associations with depressive symptoms in middle-aged and older adults in China.

Multimorbidity and Functional Disability in Older Brazilians: Contrasting Patterns in Basic and Instrumental Activities

Multimorbidity and Functional Disability in Older Brazilians: Contrasting Patterns in Basic and Instrumental Activities, 2013–2019

Objective: To analyze the association between multimorbidity and functional disability in basic (BADL) and instrumental activities of daily living (IADL) among older Brazilian adults, and to assess changes between 2013 and 2019. Methods: A cross- sectional study was conducted using data from the 2013 and 2019 Brazilian National Health Survey, including individuals aged 60 years or older. Functional disability was assessed based on self-reported limitations in BADL and IADL, categorized dichotomously. Multimorbidity was defined as the presence of two or more chronic conditions. Analyses accounted for the complex survey design, incorporating sampling weights, strata, and primary sampling units. Prevalence ratios (PR) were estimated using Poisson regression with robust variance, adjusted for sociodemographic variables. Effect modification over time was assessed using interaction terms. Results: The sample included 33,905 individuals, representing approximately 60.8 million older adults. The prevalence of multimorbidity was 57.9% (95%CI: 57.0–58.8). Functional disability increased from 2013 to 2019 for both BADL (15.5% to 20.6%) and IADL (28.0% to 32.2%). Multimorbidity was associated with higher prevalence of disability in both outcomes, with greater magnitude for BADL (PR=2.00; 95%CI: 1.66–2.42) than for IADL (PR=1.38; 95%CI: 1.22–1.55). Functional disability was higher in 2019 regardless of multimorbidity status (BADL: PR=1.36; 95%CI: 1.15–1.63; IADL: PR=1.17; 95%CI: 1.04–1.31). No significant interaction between multimorbidity and survey year was observed. Advanced age, female sex, and lower education were associated with higher prevalence of disability, with stronger sociodemographic effects for IADL. Conclusion: Multimorbidity is a key determinant of functional disability among older adults in Brazil, with a stronger impact on basic activities. The observed increase in disability over time, independent of multimorbidity, suggests the influence of broader structural factors. Differences in the magnitude of associations between BADL and IADL indicate that social determinants play a more prominent role in instrumental limitations, while multimorbidity is more strongly associated with advanced levels of dependency.