Mihyun Han, Nam-Ju Lee, SangHan Lee
Development and evaluation of a forensic nursing competency-based hybrid simulation education program: A quasi-experimental design
Nurse education in practice
india prevalence depression among older adults dealing multiple health conditions varies rural urban areas due disparities healthcare access cultural factors distinct patterns observed underscore necessity tailored research interventions address mental health inequalities among multimorbid older patients diverse geographic contexts study used data longitudinal ageing study india lasi wave 1 201718 total 7608 adults aged 60 years diagnosed two chronic conditions hypertension diabetes cancer chronic lung disease chronic heart diseases stroke bonejoint disease neurological psychiatric diseases high cholesterol included study descriptive statistics bivariate analysis logistic regression estimates fairlie decomposition method used accomplish studys objectives prevalence depression among older adults multimorbidity 948 higher rural areas 3833 urban areas 2885 older adults multimorbidity belonging scheduled caste group 40 likely experience depression moreover multimorbidity form disability activities daily living adl 93 likely experience depression without disability whereas multimorbidity perceived good general health 65 less likely suffer depression poor selfperceived health additionally decomposition analysis revealed education 3599 caste status 1030 iadl disability 1930 perceived discrimination 2425 primary factors contributing differences depression prevalence among older adults multimorbidity rural urban areas found significant ruralurban differences depression among older indians multimorbidity findings underscore need targeted interventions address unique challenges faced older patients rural areas including lack social capital discrimination limited resources enable access healthcare services policymakers healthcare professionals must collaboratively design implement effective strategies improve mental health overall wellbeing rural older adults particularly multiple comorbidities