Factors influencing depression markers in elderly primary healthcare center patients in Maringá, Paraná, Brazil, 2017

Oliveira, Daniel Vicentini de; Pivetta, Naelly Renata Saraiva; Oliveira, Gustavo Vinicius do Nascimento de; Silva, Diogo Alves da; Nascimento Júnior, José Roberto Andrade do; Cavaglieri, Cláudia Regina

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Epidemiologia e Serviços de Saúde

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 28 (3) • 2019 • https://doi.org/10.5123/S1679-49742019000300010 copy

Factors influencing depression markers in elderly primary healthcare center patients in Maringá, Paraná, Brazil, 2017^* * Study funded with resources from the Coordination for the Improvement of Higher Education Personnel, Ministry of Education (Capes/MEC): Process No. 01P-3372/2017

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to analyze factors influencing depression markers in elderly patients at primary healthcare centers (PHC) in the city of Maringá, Paraná, Brazil, in 2017.

Methods:

this was a cross-sectional study carried out with elderly individuals at PHCs in Maringá city; we used a questionnaire comprising sociodemographic questions, the Geriatric Depression Scale (GDS) and the International Physical Activity Questionnaire (IPAQ); we analyzed associations and compared depression markers with sociodemographic variables and health conditions.

Results:

645 elderly people took part in the study; those with the highest depression markers had lower income, poor health perception, a history of falls and three or more comorbidities; the physically active elderly had lower depression markers.

Conclusion:

monthly income and health conditions are factors that influence depression markers; doing light physical activities is associated with lower tendency of depression in the elderly.

Keywords:
Motor Activity; Depression; Cross-Sectional Studies; Geriatrics; Aging

Variables	Depression marker	p
Variables	Median (Q1;Q3)	p
Sex ^a
Male	3.0 (1.0;6.0)	0.134
Female	3.0 (1.0;6.0)
Age group (in years)^b
60-69	2.0 (1.0;6.0)
70-79	3.0 (1.0;6.0)	0.085
≥80	3.0 (0.0;5.0)
Marital status^b
Married	3.0 (1.0;6.0)	0.249
Single	2.0 (1.0;7.0)
Divorced/separated/widowed	3.0 (2.0;7.0)
Monthly income (in monthly minimum wages [MW])^b
1 to 2 MW	3.0 (1.0;6.0)
2.1 a 3 MW	3.0 (1.0;6.0)	0.001^c
More than 3 MW	1.0 (0.0;3.0)
Retirement pension^a
Yes	3.0 (1.0;6.0)	0.255
No	3.0 (1.0;7.0)

Variables	Depression marker	p
Variables	Median (Q1;Q3)	p
Perception of their own health^a
Good	2.0 (1.0;4.0)	0.001 ^d
Regular	3.0 (1.0;6.0)
Poor	6.0 (2.0;9.0)
Reason for going to PHC ^a
Medical appointment	2.0 (1.0;6.0)	0,.58
To get medication	3.0 (1.0;7.0)
To have examinations/tests	3.0 (1.0;5.0)
Use of medication ^a
None	2.0 (1.0;3.8)	0.001^d
1 to 2	2.0 (1.0;5.0)
More than 2	4.0 (2.0;7.0)
History of falls ^b
Yes	4.0 (2.0;7.0)	0.003^d
No	3.0 (1.0;6.0)	0.003^d
History of almost falling ^b
Yes	3.0 (1.0;6.0)	0.322
No	3.0 (1.0;6.0)	0.322
Physical activity level
Very active/active	3.0 (1.0;6.0)	0.027^d
Irregularly active	3.0 (0.0;5.0)
Sedentary	3.0 (1.0;7.0)
Associated comorbidities ^a
None	2.0 (1.0;4.0)	0.001^d
1 to 2	2.0 (1.0;5.0)
More than 3	5.0 (2.0;7.0)

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence:
Daniel Vicentini de Oliveira - Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, No. 126, Cidade Universitária Zeferino Vaz, Campinas, SP, Brasil. Postcode: 13083-887, Caixa Postal 464. E-mail: d.vicentini@hotmail.com

Variables	Physical activity level									Depression
Variables	1	2	3	4	5	6	7	8	9	10
1.		0.56^a	0.77^a	0.23^a	0.14^a	0.18^a	-0.06	-0.08	-0.07	-0.18^a
2.			0.89^a	0.26^a	0.31^a	0.28^a	0.02	0.01	0.01	-0.12^a
3.				0.26^a	0.26^a	0.30 ^a	0.02	0.01	0.01	0.03
4.					0.86^a	0.93^a	0.47^a	0.47^a	0.47^a	-0.02
5.						0.94^a	0.50^a	0.53^a	0.53^a	0.09
6.							0.51^a	0.53^a	0.53^a	0.05
7.								0.98^a	0.98^a	0.06
8.									0,99 ^a	0.08
9.										0.07
10.
11.

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Factors influencing depression markers in elderly primary healthcare center patients in Maringá, Paraná, Brazil, 2017* * Study funded with resources from the Coordination for the Improvement of Higher Education Personnel, Ministry of Education (Capes/MEC): Process No. 01P-3372/2017

Abstract

Objective:

Methods:

Results:

Conclusion:

Factors influencing depression markers in elderly primary healthcare center patients in Maringá, Paraná, Brazil, 2017^* * Study funded with resources from the Coordination for the Improvement of Higher Education Personnel, Ministry of Education (Capes/MEC): Process No. 01P-3372/2017