| Autor: |
Abas, Melanie, Tangchonlatip, Kanchana, Punpuing, Sureeporn, Jirapramukpitak, Tawanchai, Darawuttitnaprakom, Niphon, Prince, Martin, Flach, Clare |
| Předmět: |
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| Zdroj: |
JAMA Psychiatry; Feb2013, Vol. 70 Issue 2, p226-234, 9p |
| Abstrakt: |
Context: Migration is feared to be associated with aban-donment and depression in older parents "left behind" in rural areas of low- and middle-income countries. Objective: To test for prospective associations be-tween (1) out-migration of all children and subsequent depression in parents and (2) having a child move back and an improvement in parents' depression. Design: A cohort study with a 1-year follow-up. Setting: A population-based study nested in a demo-graphic surveillance site of 100 villages in rural Thai-land. Most out-migration is to the capital city. Participants: A stratified random sample of 1111 par-ents 60 years and older (1 per household) drawn from all 100 villages, of whom 960 (86%) provided depres-sion data at follow-up. Main Outcome Measures: Scoring 6 or more on the Thai version of the EURO-D depression scale at follow-up. Results: Depression prevalence was 22%. At baseline, 155 (16%) had all their children migrated from the district and 806 (84%) had at least 1 child living in the district. Hav-ing all children out-migrated at baseline, compared with having none or some children out-migrated, predicted a smaller odds of depression, after controlling for baseline sociodemographic and health measures (odds ratio [OR], 0.43; 95% CI, 0.20-0.92). Having a child move back in the study year was associated with greater odds of depression at follow-up when adjusted for baseline measures (OR, 1.75; 95% CI, 1.04-2.94), although this was no longer signifi-cant after adjusting for changes in disability and marital sta-tus since baseline (OR, 1.72; 95% CI, 0.99-2.98). Conclusions: Contrary to our hypothesis, parents whose children are not migrants may be at greater risk of depres-sion than those with migrant children. More understand-ing is needed about the risks for depression in older rural populations and about the effectiveness of interventions. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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