Socio-demographic correlates of unipolar major depression among the Malay elderly in Klang Valley, Malaysia an intensive study

Abstract

Objectives: The present study was carried out with the following aims: To determine the prevalence of unipolar major depression among the Malay elderly in Klang Valley, Malaysia; To study the socio-demographic correlates of unipolar major depression in Malay ethnic group; and To study the chronic co-morbid conditions associated with unipolar major depression in Malay ethnic group. Methods: A cross-sectional study was conducted within Klang Valley region, Malaysia, and subjects recruited were elderly Malay aged 60 and above. WHO validated questionnaire (English version) was chosen and translated into Malay, and the Malay version of the questionnaire was used to identify the status of unipolar major depression. Results: The prevalence of unipolar major depression among the Malay elderly living in Klang Valley, Malaysia was found to be 20.9%. Using multi variant analysis, type of family (joint/extended), smoking habits(smoker), acknowledgement of memory problem/depressed mood(acknowledged), and positive status of well-being (poor) were determinedto be significantly associated with depression. Conclusion: The prevalence of unipolar major depression among Malay elderly within Klang Valley, Malaysia appears to be much higher than studies done in previous years, but is comparable to other countries. Prevention of depression is essential to be done among the elderly, as this age group of individuals is very susceptible to depression.