Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator

Abstract Background Depression among the elderly is well-documented and associated with socio-economic factors, physical and mental health conditions. Few studies have focused on older adults’ physical limitations and depressive symptoms. However, very little is known about marital status’ role in s...

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Autores principales:	Babul Hossain, Pawan Kumar Yadav, Varsha P. Nagargoje, K. J. Vinod Joseph
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Elderly depressive symptoms Physical limitations ADLs IADLs Mobility difficulty Marital status Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/c048f356fda5435db22929690b7d87c6
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spelling	oai:doaj.org-article:c048f356fda5435db22929690b7d87c62021-11-21T12:05:21ZAssociation between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator10.1186/s12888-021-03587-31471-244Xhttps://doaj.org/article/c048f356fda5435db22929690b7d87c62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03587-3https://doaj.org/toc/1471-244XAbstract Background Depression among the elderly is well-documented and associated with socio-economic factors, physical and mental health conditions. Few studies have focused on older adults’ physical limitations and depressive symptoms. However, very little is known about marital status’ role in such associations, especially in India. The present study examines the association between physical limitations and self-reported depressive symptoms and moderating role of marital status in such association separately for men and women. Methods The present study used data from the Longitudinal Ageing Study in India (LASI) wave 1, 2017–2018, a nationally and state representative longitudinal large-scale survey of ageing and health. For the present research, a total sample of 20,806 older adults aged 60+ years was selected after excluding missing values. Along with descriptive statistics, binary logistic regression analysis and interaction effect of marital status were applied to examine the association between physical limitations (functional limitations and mobility difficulty) with the depressive symptoms separately for men and women. Results About 58, 50, and 45% elderly reported having depressive symptoms and had difficulty in 2+ ADLs, 2+ IADLs, and 2+ mobility difficulties, respectively. By the marital status, the prevalence of depressive symptoms was higher among currently unmarried than currently married, irrespective of type and number of physical limitations. The unadjusted, marital and multivariate-adjusted association suggested that elderly with more than two ADLs, IADLs, and mobility difficulty had higher odds of depressive symptoms. The gender stratified interaction effect of marital status and physical limitations on depressive symptoms indicated that currently unmarried elderly, particularly unmarried older women with 2+ ADLs (OR = 2.85; CI 95% = 1.88–3.09), 2+ IADLs (OR = 2.01; CI 95% = 1.74–2.31) and 2+ mobility difficulty (OR = 2.20; CI 95% = 1.86–2.60) had higher odds of depressive symptoms. However, such association was only valid for unmarried men having mobility difficulty. Conclusion The study highlights that the elderly with physical limitations such as ADLs, IADLs, and mobility difficulty require attention and care. Although married elderly are less likely to have depressive symptoms even with all the mentioned physical limitations, unmarried women are more vulnerable to have depressive symptoms with physical limitations.Babul HossainPawan Kumar YadavVarsha P. NagargojeK. J. Vinod JosephBMCarticleElderly depressive symptomsPhysical limitationsADLsIADLsMobility difficultyMarital statusPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Elderly depressive symptoms Physical limitations ADLs IADLs Mobility difficulty Marital status Psychiatry RC435-571
spellingShingle	Elderly depressive symptoms Physical limitations ADLs IADLs Mobility difficulty Marital status Psychiatry RC435-571 Babul Hossain Pawan Kumar Yadav Varsha P. Nagargoje K. J. Vinod Joseph Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
description	Abstract Background Depression among the elderly is well-documented and associated with socio-economic factors, physical and mental health conditions. Few studies have focused on older adults’ physical limitations and depressive symptoms. However, very little is known about marital status’ role in such associations, especially in India. The present study examines the association between physical limitations and self-reported depressive symptoms and moderating role of marital status in such association separately for men and women. Methods The present study used data from the Longitudinal Ageing Study in India (LASI) wave 1, 2017–2018, a nationally and state representative longitudinal large-scale survey of ageing and health. For the present research, a total sample of 20,806 older adults aged 60+ years was selected after excluding missing values. Along with descriptive statistics, binary logistic regression analysis and interaction effect of marital status were applied to examine the association between physical limitations (functional limitations and mobility difficulty) with the depressive symptoms separately for men and women. Results About 58, 50, and 45% elderly reported having depressive symptoms and had difficulty in 2+ ADLs, 2+ IADLs, and 2+ mobility difficulties, respectively. By the marital status, the prevalence of depressive symptoms was higher among currently unmarried than currently married, irrespective of type and number of physical limitations. The unadjusted, marital and multivariate-adjusted association suggested that elderly with more than two ADLs, IADLs, and mobility difficulty had higher odds of depressive symptoms. The gender stratified interaction effect of marital status and physical limitations on depressive symptoms indicated that currently unmarried elderly, particularly unmarried older women with 2+ ADLs (OR = 2.85; CI 95% = 1.88–3.09), 2+ IADLs (OR = 2.01; CI 95% = 1.74–2.31) and 2+ mobility difficulty (OR = 2.20; CI 95% = 1.86–2.60) had higher odds of depressive symptoms. However, such association was only valid for unmarried men having mobility difficulty. Conclusion The study highlights that the elderly with physical limitations such as ADLs, IADLs, and mobility difficulty require attention and care. Although married elderly are less likely to have depressive symptoms even with all the mentioned physical limitations, unmarried women are more vulnerable to have depressive symptoms with physical limitations.
format	article
author	Babul Hossain Pawan Kumar Yadav Varsha P. Nagargoje K. J. Vinod Joseph
author_facet	Babul Hossain Pawan Kumar Yadav Varsha P. Nagargoje K. J. Vinod Joseph
author_sort	Babul Hossain
title	Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
title_short	Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
title_full	Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
title_fullStr	Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
title_full_unstemmed	Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator
title_sort	association between physical limitations and depressive symptoms among indian elderly: marital status as a moderator
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c048f356fda5435db22929690b7d87c6
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Association between physical limitations and depressive symptoms among Indian elderly: marital status as a moderator

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