Factors influencing the prevalence of mental health problems among Malay elderly residing in a rural community: A cross-sectional study

Mohd Rizal Abdul Manaf, Madihah Mustafa, Mohd Rizam Abdul Rahman, Khairul Hazdi Yusof, Noorazah Abd Aziz

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background and Purpose: Mental health problems are common in old age, but frequently remain undetected and untreated. Mental health problems in the elderly are the result of a complex interaction of social, psychological and biological factors. The aim of this study is to determine the prevalence of mental health problems (depression, anxiety, and emotional stress) and their associated factors among the Malay elderly in a rural community of Perak, Malaysia. Methods: It was a cross-sectional study. The Malay elderly aged 60 years and above were selected through convenient sampling to give a total of 230 respondents. The Depression, Anxiety, and Stress Scale (DASS-21) was used to assess the symptoms of depression, anxiety, and stress. Bivariate analyses were performed using chi-square tests and multiple logistic regression analyses were conducted to determine the association between the factors and each of the mental health statuses assessed. Results: The results showed that the prevalence of depression, anxiety, and stress among the elderly respondents was 27.8%, 22.6%, and 8.7%, respectively. The significant factors for depression were single elderly (Adjusted OR = 3.27, 95%CI 1.66, 6.44), living with family (Adjusted OR = 4.98, 95%CI 2.05, 12.10), and poor general health status (Adjusted OR = 2.28, 95%CI 1.20, 4.36). Living with family was the only significant factor for anxiety (Adjusted OR = 2.68, 95%CI 1.09, 6.57). There was no significant factor for stress. Conclusions: Depression and anxiety among the Malay elderly in the rural community were very worrying. More equity in health should be created or strengthened in order to intensify the opportunity to identify, diagnose, and treat those with mental health problems. Living arrangement in the rural community was an important factor that had influenced depression and anxiety. Therefore, further research is recommended for more comprehensive information, as a result of which appropriate intervention can be made.

Original languageEnglish
Article numbere0156937
JournalPLoS One
Volume11
Issue number6
DOIs
Publication statusPublished - 1 Jun 2016

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mental health
rural communities
Rural Population
anxiety
Medical problems
cross-sectional studies
Mental Health
Anxiety
Cross-Sectional Studies
Depression
Health
health status
Biological Factors
Health Status
Logistics
Sampling
Malaysia
Chi-Square Distribution
Interpersonal Relations
Psychological Stress

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

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Factors influencing the prevalence of mental health problems among Malay elderly residing in a rural community : A cross-sectional study. / Abdul Manaf, Mohd Rizal; Mustafa, Madihah; Abdul Rahman, Mohd Rizam; Yusof, Khairul Hazdi; Abd Aziz, Noorazah.

In: PLoS One, Vol. 11, No. 6, e0156937, 01.06.2016.

Research output: Contribution to journalArticle

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