II. STATEMENT OF THE PROBLEM As part of a long-term study of individuals 65 years of age or older, sociologists and physicians at the Wentworth Medical Center in upstate New York investigated the relationship between geographic location, health status ( healthy or one or more comorbidities), and depression. Random samples of 20 healthy individuals were selected from three geographic locations: Florida, New York, and North Carolina. Then, each was given a standardized test to measure depression (higher test scores indicate higher levels of depression). Similarly, random samples of 20 individuals with one or more comorbidities (arthritis, hypertension, and/or heart ailment) were taken from the three geographic locations. They were also …show more content…
Data Summary
Table 2.1. Descriptive Statistics for Data from Medical 1 (Good Health)
|Alpha value (for confidence interval) |0.02 | | | | |
|Variable #1 (Florida) | | |
|Count |20 |Skewness |-0.2526 |Confidence Level: | |
| | | | |1.1992 | |
|Mean |5.55 |Skewness Standard Error |0.48582 | | |
|Mean LCL |4.33525
Depression is one of the most recurrently investigated psychological disorders within the area of medical R&D (Montorio & Izal, 1996). A number of exhaustive researches have been carried out to study its symptoms and impacts on different patients belonging to different personal and professional attributes and most of these researchers depicted that depression in the elderly people is very frequent and in spite of number of researches in this context, it is often undiagnosed or untreated. To add to this jeopardy, it has also been estimated that only 10% out of the total depressed elderly individuals receive proper diagnosis and treatment (Holroyd et al, 2000). And for that reason, an authentic
Senior compares what people think about people in other states and locations happiness, finding that usually these comparisons are untrue. Different studies and polls found that the Swiss and Canadians rank themselves among the happiest, while the Japanese are less happy. European countries tend to rank themselves the least happy, with Russia coming in last. Is happiness really based on location? I find that just because people don’t like the snowy weather doesn’t mean that they are unhappy during the holiday season. Families seem to come together and rejoice in each other’s company during this bad weather season. “And no matter where they live, human beings are terrible predictors of what will make them happy” (426). Senior discusses how we fill in the gaps, where we tend to remember only happy events and feelings and phase out bad ones. She discuss how our imaginations work in rationalizing situations and feelings, setting ourselves up for big disappointments, but deal with the successfully at the
Grohol, J. (2011). Mental Health Needs of Older Americans. Psych Central. Retrieved on September 29, 2013, from http://psychcentral.com/blog/archives/2011/05/02/mental-health-needs-of-older-americans/
Socioeconomic status and health are strongly correlated due to both finances and education. Socioeconomic status affects lifestyle choices, diet and disparity in health care access. People in low SES often does not have health insurance and are denied access to health care services. Research studies suggest that lower SES is linked to poorer health outcomes (American Psychological Association, 2012). There are also generational differences with regard to which model patients prefer in seeking healthcare (Brannon & Feist, 2010). Many older adults perceive the biopsychosocial approach as new age. They are from a generation when infectious disease was the primary cause of death and disability and treatment to
The determinants of health are economic and social conditions that affect people’s health status. These influence the living and working conditions that impacts people’s everyday living condition. Factors such as the place and the environment we live in, genetics, educational level or work status and income, as well as friends and family are some of the aspects that affects our health condition. On the other hand, the people that have an access to good health care and have financial stability are less susceptible and are often less affected. (NANB, 2009)
The geographic-level aspects involve a range of dimensions, ranging from physical characteristics of the area – such as location and climate (Bloom and Sachs 1998, APUD Wagstaff, 2001), to the infrastructure offered (Macintyre et. al., 2002) such as health services (quantity and quality), sanitation, water supply, roads, and so forth. One interesting hypothesis is that the presence of favorable aspects, like low crime rates, street cleanness and lightening, recreation places, among other “amenities” in the region under analysis mitigate the effects of unfavorable individual circumstances over health; whereas the adverse ones, such as pollution, lack of sanitation or low accessibility to urban facilities, amplify the already perverse influence of deprived individual characteristics on health status (Macintyre et. al., 2002; Kennedy et al., 1998). In California, for instance, Haan, Kaplan and Camacho (1987) found that people from poor areas experienced higher mortality rates (after controlling proper age, race and sex) than the population from non-poverty areas. Such risk of death persisted even after socioeconomic and behavioral adjustments. Similar findings have been reported by Humphries and Carr-Hill (1991); Jones and Duncan (1995) and Duncan et.al. (1993), supporting the hypothesis of the social environment´s influence over health, independently of the individual-level.
There is growing research into what has become known as the social determinants of health; the central claim arising from this research is that “various social factors have a strong influence on population health and on inequalities in health outcomes across social groups”. (Preda & Voigt, 2015) Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks. Conditions such as social, economic, and physical in various environments and settings such as school, church, work, or neighborhood have been referred to as “place”. (HP 2020) According to Healthy People 2020 (2016) understanding the relationship between how population groups experience “place” and the impact of “place” on health is fundamental to the social determinants of health. Healthy People 2020 (2016) have developed an approach to social determinants by organizing a “place-based” framework, reflecting five key areas of social determinants of health. Each of these five determinant areas, economic stability, education, social and community context, health and healthcare, neighborhood and built environment; reflects a number of critical components that make up the underlying factors in the arena of social determinants of health. Differences in social, economic, and environmental circumstances lead to health inequalities that are socially produced and therefore
The World Health Center Organization has identified depression as the fourth leading cause of total disease burden and the leading cause of disability worldwide. Research has focused on the role of socioeconomic status and the environmental risk of the underlying cause of these disparities in depression diagnosis and treatment. Research has also proven that African American women have lower rates of diagnosis, treatment, and control of hypertension compared to non-hispanics. Women are twice as likely as men to experience
Low socioeconomic status is often associated with higher prevalence of depression. Depressive disorders which develop in socioeconomically tight situations have lower rates of remission and higher risks of becoming chronic, hence increasing prevalence (Bramesfeld, Platt & Schwartz, 2006). Mental health problems like depression and anxiety have a higher prevalence in
The purpose of this research is to review factors that trigger elderly depression states, their physical and mental health conditions,
Equally important, in regards to PTSD and it subsequent influence on suicide, McCarthy et al. (2012), using a national cohort of patients, examined the suicide rates of rural veterans and their urban counterparts and found that after controlling for age, gender, mental health access, and psychiatric diagnoses, rural veterans are at a higher risk of suicide, and suicide rates were higher than their urban counterparts due simply to their resident location. Furthermore, the research indicates that even after accounting for access to mental health care services, living in a rural area increases risk of suicide (McCarthy et al., 2012).
A study in Slovakia, by Kabátová, Uríčková, and Botíková (2014), studied the prevalence of depression in long-term care residents, to determine the risk factors linked to depression, and the influence of risk factors on the extent of the depression using the Geriatric Depression Scale (GDS). The sample consisted of 84 long-term care residents age 65 or older with the exclusion criteria of those with an existing diagnosis of depression and those who had antidepressant treatment. Other data collection tools used were the Folstien 's Mini Mental State Exam (MMSE), the Barthel Index of Activities of Daily Living, and a 5-point numerical scale for pain assessment, additionally, each resident was screened for marital status. Data was collected over a one month time period in 3 different long-term care facilities. This study concluded that 60.7% of the sample group suffered from depression, with 32.1% being mildly depressed, and 28.6% being severely depressed. The conclusion of this study showed that the coloration between marital status a diagnosis of depression was statistically significant, with widows having the highest rate of depression. Pain was also
According to the Centers for Disease Control and Prevention, “older adults are at an increased risk of depression, because depression is more common in people who have other illnesses, and 80% of older adults have a chronic condition” (CDC, 2017). The CDC also mentions that older adults are often misdiagnosed or undertreated, because the symptoms may be thought to be the cause of something else, or the patient doesn’t understand that treatment would be beneficial and do not seek help.
Mental disorders are becoming more prevalent in today's society as people add stress and pressure to their daily lives. The elderly population is not eliminated as a candidate for a disorder just because they may be retired. In fact, mental disorders affect 1 in 5 elderly people. One would think that with disorders being rather prevalent in this age group that there would be an abundance of treatment programs, but this is not the case. Because the diagnosis of an individual's mental state is subjective in nature, many troubled people go untreated regularly (summer 1998). Depression in the elderly population is a common occurrence, yet the diagnosis and treatment seem to slip
Socioeconomic status is a predictive measure of health that has been widely used in the literature (Kroenke, 2008). It