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Published in: European Journal of Ageing 2/2012

01-06-2012 | Original Investigation

Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece

Authors: Vilelmine Carayanni, Christina Stylianopoulou, George Koulierakis, Fotoula Babatsikou, Charilaos Koutis

Published in: European Journal of Ageing | Issue 2/2012

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Abstract

This study examined depression, which, research has indicated, is the most common mental health problem affecting older people, especially women. Our objective was to estimate the prevalence of depression among older people in an urban Greek population and to investigate the covariates of depression symptoms prevalence by gender. The sample consisted of 360 individuals, 218 women and 142 men, aged 60 years or older, members of four open care centers for older people in Greece. A questionnaire for socio-demographic and medical data was used. Depression was probed by use of the geriatric depression scale short form. One-hundred and nine persons (30.3%), 32 men (22.53%) and 77 women (35.12%) were found to have depressive symptoms. The results indicated that women have more depression symptoms than men. Being currently unmarried and suffering from multimorbidity were associated with depression symptoms in both gender groups. Meetings with friends were found to be protective factors for both sexes; care of grandchildren and participating in outings and excursions seemed to be protective factors for women only. Unfavorable economic situations, and being childless, were associated with prevalence of depression symptoms among women only. This study confirmed the relationship between depression symptoms and gender and the importance of social and medical factors in the prevalence of depression symptoms, in both gender groups. It also indicated the greater vulnerability of women to some social factors.
Literature
go back to reference Agresti A (2007) An introduction to categorical data analysis. Wiley series in probability and statistics. Wiley, HobokenCrossRef Agresti A (2007) An introduction to categorical data analysis. Wiley series in probability and statistics. Wiley, HobokenCrossRef
go back to reference Argyriadou S, Melissopoulou H, Krania E et al (2001) Dementia and depression: two frequent disorders of the aged in primary health care in Greece. Fam Pract 18(1):87–91CrossRef Argyriadou S, Melissopoulou H, Krania E et al (2001) Dementia and depression: two frequent disorders of the aged in primary health care in Greece. Fam Pract 18(1):87–91CrossRef
go back to reference Barefoot JC, Mortensen EL, Helms MJ et al (2001) A longitudinal study of gender differences in depressive symptoms from age 50 to 80. Psychol Aging 16(2):342–345CrossRef Barefoot JC, Mortensen EL, Helms MJ et al (2001) A longitudinal study of gender differences in depressive symptoms from age 50 to 80. Psychol Aging 16(2):342–345CrossRef
go back to reference Birrer RB, Vemuri SP (2004) Depression in later life: a diagnostic and therapeutic challenge. Am Fam Physician 69(10):2376–2382 Birrer RB, Vemuri SP (2004) Depression in later life: a diagnostic and therapeutic challenge. Am Fam Physician 69(10):2376–2382
go back to reference Bruce M, McAvay G, Raue P et al (2002) Major depression in older people home health care patients. Am J Psychiatry 159:1367–1373CrossRef Bruce M, McAvay G, Raue P et al (2002) Major depression in older people home health care patients. Am J Psychiatry 159:1367–1373CrossRef
go back to reference Cole MG, Dendukuri N (2003) Risk factors for depression among older people community subjects: a systematic review and meta-analysis. Am J Psychiatry 160:1147–1156CrossRef Cole MG, Dendukuri N (2003) Risk factors for depression among older people community subjects: a systematic review and meta-analysis. Am J Psychiatry 160:1147–1156CrossRef
go back to reference Djernes JK (2006) Prevalence and predictors of depression in populations of older people: a review. Acta Psychiatr Scand 113(5):372–387CrossRef Djernes JK (2006) Prevalence and predictors of depression in populations of older people: a review. Acta Psychiatr Scand 113(5):372–387CrossRef
go back to reference Fleiss JL (1986) The design and analysis of clinical experiments. Wiley, New York Fleiss JL (1986) The design and analysis of clinical experiments. Wiley, New York
go back to reference Flint AJ (2005) Editorial: anxiety and its disorders in late life. moving the field forward. Am J Geriatr Psychiatry 13:3–6 Flint AJ (2005) Editorial: anxiety and its disorders in late life. moving the field forward. Am J Geriatr Psychiatry 13:3–6
go back to reference Fountoulakis KN, Tsolaki M, Iacovides A et al (1999) The validation of the short form of geriatric depression scale (GDS-15) in Greece. Aging Clin Exp Res 11:367–372 Fountoulakis KN, Tsolaki M, Iacovides A et al (1999) The validation of the short form of geriatric depression scale (GDS-15) in Greece. Aging Clin Exp Res 11:367–372
go back to reference Frasure-Smith N, Lesperance F, Jumeau M et al (1999) Gender depression, and one year prognosis after myocardial infarction. Psychosom Med 61:26–27 Frasure-Smith N, Lesperance F, Jumeau M et al (1999) Gender depression, and one year prognosis after myocardial infarction. Psychosom Med 61:26–27
go back to reference Gallo JJ, Lebowitz BD (1999) The epidemiology of common late-life mental disorders in the community: themes for the new century. Psychiatr Serv 50(9):1158–1166 Gallo JJ, Lebowitz BD (1999) The epidemiology of common late-life mental disorders in the community: themes for the new century. Psychiatr Serv 50(9):1158–1166
go back to reference Green B (1995) Psychiatry in general practice. Kluwer Academic Publishers, London Green B (1995) Psychiatry in general practice. Kluwer Academic Publishers, London
go back to reference Gutiérrez-Lobos K, Schmid-Siegel B, Haubenstock E (1999) Is depression a women‘s disease? [Article in German]. Wien Med Wochenschr 149(7):168–171 Gutiérrez-Lobos K, Schmid-Siegel B, Haubenstock E (1999) Is depression a women‘s disease? [Article in German]. Wien Med Wochenschr 149(7):168–171
go back to reference Hughes M, Waite T, LaPierre T, Luo YJ (2007) All in the family: the impact of caring for grandchildren on grandparents’ health. Gerontol B Psychol Sci Soc Sci 62(2):S108–S119CrossRef Hughes M, Waite T, LaPierre T, Luo YJ (2007) All in the family: the impact of caring for grandchildren on grandparents’ health. Gerontol B Psychol Sci Soc Sci 62(2):S108–S119CrossRef
go back to reference Kennedy GJ (1996) The epidemiology of late life depression. In: Kennedy GJ (ed) Suicide and depression in late life: critical issues in treatment, research and public policy. Wiley, New York, pp 23–37 Kennedy GJ (1996) The epidemiology of late life depression. In: Kennedy GJ (ed) Suicide and depression in late life: critical issues in treatment, research and public policy. Wiley, New York, pp 23–37
go back to reference Lynch JW, Kaplan GA, Shema SJ (1997) Cumulative impact of sustained economic hardship on physical, cognitive, psychological and social functioning. N Engl J Med 337:1889–1895CrossRef Lynch JW, Kaplan GA, Shema SJ (1997) Cumulative impact of sustained economic hardship on physical, cognitive, psychological and social functioning. N Engl J Med 337:1889–1895CrossRef
go back to reference McCall NT, Parks P, Smith K et al (2002) The prevalence of major depression or dysthymia among aged medicare fee-for-service beneficiaries. Int J Geriatr Psychiatry 17(6):557–565CrossRef McCall NT, Parks P, Smith K et al (2002) The prevalence of major depression or dysthymia among aged medicare fee-for-service beneficiaries. Int J Geriatr Psychiatry 17(6):557–565CrossRef
go back to reference Minicuci N, Maggi S, Pavan M et al (2002) Prevalence rate and correlates of depressive symptoms in older individuals: the veneto study. J Gerontol A Biol Sci Med Sci 57(3):M155–M161CrossRef Minicuci N, Maggi S, Pavan M et al (2002) Prevalence rate and correlates of depressive symptoms in older individuals: the veneto study. J Gerontol A Biol Sci Med Sci 57(3):M155–M161CrossRef
go back to reference Papadopoulos FC, Petridou E, Argyropoulou S et al (2005) Prevalence and correlates of depression in late life: a population based study from a rural Greek town. Int J Geriatr Psychiatry 20:350–357CrossRef Papadopoulos FC, Petridou E, Argyropoulou S et al (2005) Prevalence and correlates of depression in late life: a population based study from a rural Greek town. Int J Geriatr Psychiatry 20:350–357CrossRef
go back to reference Piccinelli M, Wilkinson G (2000) Gender differences in depression. Br J Psychiatry 177:486–492CrossRef Piccinelli M, Wilkinson G (2000) Gender differences in depression. Br J Psychiatry 177:486–492CrossRef
go back to reference Rabheru K (2004) Special issues in the management of depression in older patients. Can J Psychiatry 49(Suppl 1):41S–50S Rabheru K (2004) Special issues in the management of depression in older patients. Can J Psychiatry 49(Suppl 1):41S–50S
go back to reference Singh A, Misra N (2009) Loneliness, depression and sociability in old age. Ind Psychiatry 18(1):51–55CrossRef Singh A, Misra N (2009) Loneliness, depression and sociability in old age. Ind Psychiatry 18(1):51–55CrossRef
go back to reference Sonnenberg CM, Beekman ATF, Deeg DJH (2000) Sex-differences in late-life depression. Acta Psychiatr Scand 101:286–292 Sonnenberg CM, Beekman ATF, Deeg DJH (2000) Sex-differences in late-life depression. Acta Psychiatr Scand 101:286–292
go back to reference Spyropoulos Α, Paliosi Ν, Leontari Α et al (2004) Research for the presence of dementia and depression in 100 older people of the 5 OCCFOP of Korydallos municipality [Article in Greek]. Hellenic Gerontologist and Geriatric Association, Athens, pp 209–212 Spyropoulos Α, Paliosi Ν, Leontari Α et al (2004) Research for the presence of dementia and depression in 100 older people of the 5 OCCFOP of Korydallos municipality [Article in Greek]. Hellenic Gerontologist and Geriatric Association, Athens, pp 209–212
go back to reference Stylianopoulou Ch, Koulierakis G, Karagianni V et al (2010) Prevalence of depression among elderly on open care centers for older people [Article in Greek]. Rostrum of Asclepius 9(4):490–504 Stylianopoulou Ch, Koulierakis G, Karagianni V et al (2010) Prevalence of depression among elderly on open care centers for older people [Article in Greek]. Rostrum of Asclepius 9(4):490–504
go back to reference Taqui A, Itrat A, Qidwai W et al (2007) Depression in the older people: does family system play a role? A cross-sectional study. BMC Psychiatry. doi:10.1186/1471-244X-7-57 Taqui A, Itrat A, Qidwai W et al (2007) Depression in the older people: does family system play a role? A cross-sectional study. BMC Psychiatry. doi:10.​1186/​1471-244X-7-57
go back to reference Van Grootheest DS, Beekman ATF, Broese van Groenou MI et al (1999) Sex differences in depression after widowhood. Do men suffer more? Soc Psychiatry Psychiatr Epidemiol 34:391–398CrossRef Van Grootheest DS, Beekman ATF, Broese van Groenou MI et al (1999) Sex differences in depression after widowhood. Do men suffer more? Soc Psychiatry Psychiatr Epidemiol 34:391–398CrossRef
go back to reference Wancata J, Alexandrowicz R, Marquart B et al (2006) The criterion validity of the geriatric depression scale: a systematic review. Acta Psychiatr Scand 114(6):398–410CrossRef Wancata J, Alexandrowicz R, Marquart B et al (2006) The criterion validity of the geriatric depression scale: a systematic review. Acta Psychiatr Scand 114(6):398–410CrossRef
go back to reference Wijeratne Ch (1997) Review: pathways to morbidity in carers of dementia sufferers. Int Psychogeriatr 9(1):69–79CrossRef Wijeratne Ch (1997) Review: pathways to morbidity in carers of dementia sufferers. Int Psychogeriatr 9(1):69–79CrossRef
go back to reference Wilson G (1995) “I’m the eyes and she’s the arms”: changes in gender roles in advanced old age. In: Arber S, Ginn J (eds) Connecting gender & ageing: a sociological approach. Open University Press, Buckingham, pp 98–113 Wilson G (1995) “I’m the eyes and she’s the arms”: changes in gender roles in advanced old age. In: Arber S, Ginn J (eds) Connecting gender & ageing: a sociological approach. Open University Press, Buckingham, pp 98–113
go back to reference Zunzunegui MV, Beland F, Llacer A (1998) Gender differences in depressive symptomatology among Spanish older people. Soc Psychiatry Psychiatr Epidemiol 33:195–205CrossRef Zunzunegui MV, Beland F, Llacer A (1998) Gender differences in depressive symptomatology among Spanish older people. Soc Psychiatry Psychiatr Epidemiol 33:195–205CrossRef
go back to reference Zunzunegui MV, Minicuci N, Blumstein T et al (2007) Gender differences in depressive symptoms among older adults: a cross-national comparison: The CLESA project. Soc Psychiatry Psychiatr Epidemiol 42:198–207CrossRef Zunzunegui MV, Minicuci N, Blumstein T et al (2007) Gender differences in depressive symptoms among older adults: a cross-national comparison: The CLESA project. Soc Psychiatry Psychiatr Epidemiol 42:198–207CrossRef
Metadata
Title
Sex differences in depression among older adults: are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece
Authors
Vilelmine Carayanni
Christina Stylianopoulou
George Koulierakis
Fotoula Babatsikou
Charilaos Koutis
Publication date
01-06-2012
Publisher
Springer Netherlands
Published in
European Journal of Ageing / Issue 2/2012
Print ISSN: 1613-9372
Electronic ISSN: 1613-9380
DOI
https://doi.org/10.1007/s10433-012-0216-x

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