Correlates of Depressive Symptoms among Middle-Aged and Older Homeless Adults Using the 9-Item Patient Health Questionnaire
| Autor: | Lin-Yun Wang, Lan-Ping Lin, Jin-Ding Lin, Tai-Wen Wang, Yun-Cheng Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Toxicology and Mutagenesis lcsh:Medicine Patient Health Questionnaire Article 03 medical and health sciences 0302 clinical medicine Ambulatory care Patient Health Questionnaire-9 (PHQ-9) Informed consent Surveys and Questionnaires Health care Medicine Humans 030212 general & internal medicine Psychiatry Depression (differential diagnoses) Depressive symptoms Health policy Aged homeless population Depressive Disorder Major 030505 public health business.industry lcsh:R Public Health Environmental and Occupational Health Middle Aged Mental health Cross-Sectional Studies Ill-Housed Persons depression Female 0305 other medical science business mental health |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 13 International Journal of Environmental Research and Public Health, Vol 17, Iss 4754, p 4754 (2020) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph17134754 |
| Popis: | This study investigates the screening for depressive symptoms among middle-aged and older homeless adults based on Patient Health Questionnaire-9 (PHQ-9) and examines the possible factors associated with their major depressive symptoms. A cross-sectional survey was employed, and research subjects included 129 homeless people aged 45 years old and over in Taipei Wanhua District and Taipei Main Station. We used a structured questionnaire and face-to-face interview conducted by three social workers to collect data in the analyses. The content of the questionnaire included an informed consent form, demographic characteristics, enabling and need factors of healthcare, and PHQ-9 of homeless people. Results revealed that 15.5% respondents were free of depressive symptoms, 16.3% had mild level (score 5&ndash 9), 31.8% had moderate level (score 10&ndash 14), 26.4% had moderately severe level (score 15&ndash 19), and 10.1% had severe level of depressive symptoms (score 20&ndash 27). Adopting a PHQ-9 score 10 as a cut-off point for major depressive symptoms, 68.3% of middle-aged and older homeless adults were the cases needing to be referred to healthcare settings for further recheck in the near future. A multiple regression analysis found gender, age, and usage of psychiatric outpatient care were associated with major depressive symptom occurrence. The female participants were less likely to have major depressive symptoms than the male participants (OR = 0.29, 95% CI = 0.09&ndash 0.96). The elderly participants were more likely to have major depressive symptoms than the aged 45&ndash 54 years (OR = 5.29, 95% CI = 1.44&ndash 19.41). Those participants who have ever used psychiatric outpatient care were significantly more correlated with the occurrence of major depressive symptoms than their counterparts (OR = 3.65, 95% CI = 1.46&ndash 9.09). The present study suggests that in the future health policy should eliminate the risk factors of depressive symptoms and improve mental healthcare access, to improve the health and wellbeing of the homeless population. |
| Databáze: | OpenAIRE |
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