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Factors associated with help-seeking behaviors in Mexican older individuals with depressive symptoms: a crosssectional

dc.rights.licensehttp://creativecommons.org/licenses/by/4.0es_MX
dc.creatorMARIO ULISES PEREZ ZEPEDAes_MX
dc.creatorVICTORIA EUGENIA ARANGO LOPERAes_MX
dc.creatorFERNANDO WAGNERes_MX
dc.creatorJoseph Galloes_MX
dc.creatorSERGIO SANCHEZ GARCIAes_MX
dc.creatorTERESA JUAREZ CEDILLOes_MX
dc.creatorMaría del Carmen García Peñaes_MX
dc.date2013
dc.date.accessioned2021-10-28T18:32:45Z
dc.date.available2021-10-28T18:32:45Z
dc.identifier.urihttp://repositorio.inger.gob.mx/jspui/handle/20.500.12100/17289
dc.descriptionObjective: Depression in the older individuals is associated with multiple adverse outcomes, such as high health service utilization rates, low pharmacological compliance, and synergistic interactions with other comorbidities. Moreover, the help-seeking process, which usually starts with the feeling ""that something is wrong"" and ends with appropriate medical care, is influenced by several factors. The aim of this study was to explore factors associated with the pathway of help seeking among older adults with depressive symptoms. Methods: A cross-sectional study of 60-year or older community dwelling individuals belonging to the largest health and social security system in Mexico was carried out. A standardized interview explored the process of seeking health care in four dimensions: depressive symptoms, help seeking, help acquisition, and specialized mental health. Results: A total of 2322 individuals were studied; from these, 67.14% (n = 1559) were women, and the mean age was 73.18 years (SD = 7.02); 57.9% had symptoms of depression; 337 (25.1%) participants sought help, and 271 (80.4%) received help; and 103 (38%) received specialized mental health care. In the stepwise model for not seeking help (χ(2) = 81.66, p < 0.0001), significant variables were female gender (odds ratio (OR) = 0.7, 95% confidence interval (CI) 0.511-0.958, p = 0.026), health-care use (OR 3.26, CI 95% 1.64-6.488, p = 0.001). Number of years in school, difficulty in activities, Short Anxiety Screening Test score, and indication that depression is not a disease belief were also significant. Conclusions: Appropriate mental health care is rather complex and is influenced by several factors. The main factors associated with help seeking were gender, education level, recent health service use, and the belief that depression is not a disease. Detection of subjects with these characteristics could improve care of the older individuals with depressive symptoms.es_MX
dc.formatAdobe PDFes_MX
dc.languageenges_MX
dc.publisherInternational College of Geriatric Psychoneuropharmacology & Wileyes_MX
dc.relationhttps://onlinelibrary.wiley.com/doi/abs/10.1002/gps.3953es_MX
dc.relation.requiresSies_MX
dc.rightsAcceso Abiertoes_MX
dc.sourceInternational Journal of Geriatric Psychiatry (1099-1166) Vol. 28 (2013)es_MX
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_MX
dc.subjectCiencias médicases_MX
dc.subjectCiencias clínicases_MX
dc.subjectGeriatríaes_MX
dc.subjectPersonas mayoreses_MX
dc.subjectElderlyes_MX
dc.subjectDepresiónes_MX
dc.subjectDepressiones_MX
dc.subjectMéxicoes_MX
dc.subjectMexicoes_MX
dc.titleFactors associated with help-seeking behaviors in Mexican older individuals with depressive symptoms: a crosssectionales_MX
dc.typeArtículoes_MX
dc.audienceResearcherses_MX
dc.creator.idPEZM760111HDFRPR07es_MX
dc.creator.idAALV680413MNERPC04es_MX
dc.creator.idCA1232914es_MX
dc.creator.id0000-0002-7878-0321es_MX
dc.creator.idSAGS710328HDFNRR03es_MX
dc.creator.idJUCT700926MMCRDR00es_MX
dc.creator.idGAPC560716MDFRXR00es_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercaes_MX
dc.creator.nameIdentifiercvues_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX
dc.creator.nameIdentifiercurpes_MX


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