Abstract:
Objectives This study aimed to estimate the prevalence of geriatric depression and identify its associated socio-demographic, lifestyle, health, and psychosocial determinants among community-dwelling older adults in Bangladesh.Methods A community-based cross-sectional study was conducted between April and December 2024 among 719 adults aged ≥ 60 years, selected by multistage random sampling across four administrative divisions. Data were collected using interviewer-administered questionnaires. Depression was assessed using the GDS-15 (cut-off ≥ 5). Logistic regression models were applied to identify determinants, and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Results The prevalence of geriatric depression was 35.2%. Poor family bonding (AOR = 6.580, 95% CI = 3.540–12.210, p < 0.001), financial instability (AOR = 3.660, 95% CI = 2.550–5.260, p < 0.001), dissatisfaction with lifestyle (AOR = 3.590, 95% CI = 2.240–5.770, p < 0.001), and daily life stress (AOR = 3.640, 95% CI = 2.560–5.190, p < 0.001) were significant predictors. Comorbidities, lack of regular exercise, mobility, and hearing problems also increased depression risk.
