Please use this identifier to cite or link to this item: https://hdl.handle.net/11000/30512
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dc.contributor.authorBrandão, Diego José-
dc.contributor.authorFerreira Fontenelle, Leonardo-
dc.contributor.authorAlmeida da Silva, Simone-
dc.contributor.authorRossi Menezes, Paulo-
dc.contributor.authorPastor-Valero, Maria-
dc.contributor.otherDepartamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecologíaes_ES
dc.date.accessioned2024-01-12T08:29:30Z-
dc.date.available2024-01-12T08:29:30Z-
dc.date.created2018-09-
dc.identifier.citationInternational Journal of Geriatric Psychiatry Volume34, Issue1 January 2019es_ES
dc.identifier.issn1099-1166-
dc.identifier.issn0885-6230-
dc.identifier.urihttps://hdl.handle.net/11000/30512-
dc.description.abstractObjective To investigate the association between depression and mortality in the elderly living in low- and middle-income countries. Methods A systematic review and meta-analysis was performed. We searched in five electronic databases for observational studies investigating the association between mortality and depression. Two reviewers worked independently to select articles, extract data, and assess study quality. Results A total of 10 studies including 13 828 participants (2402 depressed and 11 426 nondepressed) from six countries (Brazil, four articles; China, two articles; Botswana, India, South Africa, and South Korea, one article) were included. The overall unadjusted relative risk (RR) of mortality in depressed relative to nondepressed participants was 1.62 (95% CI, 1.39-1.88; P < 0.001), with high heterogeneity (I2 = 66%; 95% CI, 33-83; P < 0.005). After adjustment for publication bias, the overall RR decreased to 1.60 (95% CI, 1.37-1.86; P < 0.001). No significant differences were observed between subgroups except those defined by study quality. The high-quality studies had a pooled RR of 1.48 (95% CI, 1.32-1.67; P < 0.001), while the low-quality studies resulted had a pooled RR of 1.82 (95% CI, 1.25-2.65; P < 0.005). Conclusions Depression is associated with excess mortality in the elderly living in low- and middle-income countries. In addition, this excess mortality does not differ substantially from that found in high-income countries. This suggests environmental factors occurring in low- and middle-income countries might not have a direct association with the excess mortality in the depressed elderly.es_ES
dc.formatapplication/pdfes_ES
dc.format.extent9es_ES
dc.language.isoenges_ES
dc.publisherWileyes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectdepressiones_ES
dc.subjectlow‐ and middle‐income countrieses_ES
dc.subjectmortalityes_ES
dc.subject.otherCDU::6 - Ciencias aplicadas::61 - Medicinaes_ES
dc.titleDepression and excess mortality in the elderly living in lowand middle‐income countries: Systematic review and meta‐analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://doi.org/10.1002/gps.5008es_ES
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Artículos Salud Pública, Historia de la Ciencia y Ginecología


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