Estimate of the prevalence of depression among older people in Africa: a systematic review and meta-analysis.

Bedaso, A; Mekonnen, N; Duko, B

Estimate of the prevalence of depression among older people in Africa: a systematic review and meta-analysis.

Bedaso, A Mekonnen, N Duko, B

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Publisher:: Informa UK Limited
Publication Type:: Journal Article
Citation:: Aging & mental health, 2021, pp. 1-11
Issue Date:: 2021-06-15

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Field	Value	Language
dc.contributor.author	Bedaso, A
dc.contributor.author	Mekonnen, N
dc.contributor.author	Duko, B
dc.date.accessioned	2021-09-30T05:15:21Z
dc.date.available	2021-09-30T05:15:21Z
dc.date.issued	2021-06-15
dc.identifier.citation	Aging & mental health, 2021, pp. 1-11
dc.identifier.issn	1360-7863
dc.identifier.issn	1364-6915
dc.identifier.uri	http://hdl.handle.net/10453/150760
dc.description.abstract	<h4>Objective</h4>The current systematic review and meta-analysis aimed to estimate the pooled prevalence of depression among elderly people in Africa.<h4>Method</h4>We have searched CINAHIL, PubMed, SCOPUS and Psych-INFO databases to identify important observational studies which reported the prevalence of depression among the elderly. We used a random-effects model due to reported heterogeneity among the included studies. The publication bias was examined by using Egger's test, visual inspection of the symmetry in funnel plots and adjusted using Duval and Tweedie's Trim and Fill analysis. We have meta-analysed the pooled estimates of depression from primary studies by adjusting for publication bias. We used Cochran's Q and the I<sup>2</sup>-tests to measure heterogeneity across the studies.<h4>Result</h4>A total of 23 studies conducted in Africa were included in the current systematic review and meta-analysis, representing a total of 14, 350 elderly population. The pooled prevalence of depression among elderly people in Africa was estimated to be 26.3% (95% CI; 22.2, 30.4%). The estimated pooled prevalence of depression among the elderly in Africa was much higher (43.1%) in studies that used a screening tool to measure depression when compared to studies that used a diagnostic tool (24.2%). Also, the prevalence of depression among female elderly participant (43.10%) was higher than that of male elderly participant (30.90%).<h4>Conclusion</h4>One in five elderly population in Africa were depressed, which poses serious health concerns. Timely and targeted screening of depression among the elderly and evidence-based interventions were highly recommended.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Informa UK Limited
dc.relation.ispartof	Aging & mental health
dc.relation.isbasedon	10.1080/13607863.2021.1932740
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences
dc.subject.classification	Geriatrics
dc.title	Estimate of the prevalence of depression among older people in Africa: a systematic review and meta-analysis.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
dc.date.updated	2021-09-30T05:15:20Z
pubs.publication-status	Published

Abstract:

Objective

The current systematic review and meta-analysis aimed to estimate the pooled prevalence of depression among elderly people in Africa.

Method

We have searched CINAHIL, PubMed, SCOPUS and Psych-INFO databases to identify important observational studies which reported the prevalence of depression among the elderly. We used a random-effects model due to reported heterogeneity among the included studies. The publication bias was examined by using Egger's test, visual inspection of the symmetry in funnel plots and adjusted using Duval and Tweedie's Trim and Fill analysis. We have meta-analysed the pooled estimates of depression from primary studies by adjusting for publication bias. We used Cochran's Q and the I²-tests to measure heterogeneity across the studies.

Result

A total of 23 studies conducted in Africa were included in the current systematic review and meta-analysis, representing a total of 14, 350 elderly population. The pooled prevalence of depression among elderly people in Africa was estimated to be 26.3% (95% CI; 22.2, 30.4%). The estimated pooled prevalence of depression among the elderly in Africa was much higher (43.1%) in studies that used a screening tool to measure depression when compared to studies that used a diagnostic tool (24.2%). Also, the prevalence of depression among female elderly participant (43.10%) was higher than that of male elderly participant (30.90%).

Conclusion

One in five elderly population in Africa were depressed, which poses serious health concerns. Timely and targeted screening of depression among the elderly and evidence-based interventions were highly recommended.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150760