<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642021000200007</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v23n2.85965</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Prevalence of depression in older adults living in Ecuador and contributing factors: a population-based study]]></article-title>
<article-title xml:lang="es"><![CDATA[Prevalencia de depresión en adultos mayores residentes en Ecuador y factores contribuyentes: un estudio poblacional]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sisa]]></surname>
<given-names><![CDATA[Ivan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad San Francisco de Quito  ]]></institution>
<addr-line><![CDATA[Quito ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de niños Nicklaus  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>1</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642021000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642021000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642021000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective To estimate the prevalence of depression in the older population of Ecuador and explore the independent associations of key socio-demographic and health-related factors with moderate/severe depression.  Methods A cross-sectional study was conducted using a national database. The outcome variable was estimated using the Short Form of the Geriatric Depression Scale. A cut-value of &gt;9 was used to ascertain the outcome variable. We conducted bivariate and logistic regression analysis.  Results The study sample consisted of 5 235 subjects, with a median age of 70 years, 53.5% were female, and 44.9% of the sample was living in rural areas. Our study found a prevalence of any depression of 35.4%. Individuals were classified as having mild depression (1 239, 23.7%), moderate depression (457, 8.7%), and severe depression (156,-~3%). The prevalence of moderate/severe depression was of 11.7%. Among socio-demographic factors, no education (OR=3.69 [95% CI: 1.35-11.94]), Afro-Ecuadorian race (OR= 2.1 [1.03-4.06]), living alone (OR=2.37 [1.67-3.31]), perception of insufficient income (OR= 3.56 [2.14-6.38]), and suffering physical abuse (OR=2.33 [1.59-3.36]) remained statistically significant. Among health-related factors, drinking alcohol (OR=0.27 [0.08-0.66]), exercise (OR=1.68 [1.24-2.31]), incontinence (OR=2.00 [1.54-2.59]), lower perception of hearing (OR=2.19 [1.41-3.32]), cancer (OR=1.90 [1.00-3.51]), and being functionally dependent (OR=1.59 [1.22-2.08]) remained statistically significant.  Conclusions Our investigation brings light to an important public health problem in Ecuador. Addressing depression and its contributing factors may help to improve the quality of life and long-term health outcomes in Ecuador's growing older population.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Estimar la prevalencia de depresión en la población adulta mayor de Ecuador y explorar la asociación de factores sociodemográficos y de salud claves con depresión moderada o severa.  Métodos Se realizó un estudio de corte transversal utilizando una base de datos nacional. La variable dependiente fue estimada por medio del formulario corto de la Geriatric Depression Scale. Se usó un valor de corte &gt; 9 para definir la variable de desenlace. Se realizó un análisis bivariado y de regresión logística.  Resultados La muestra del estudio fue de 5 235 sujetos, con una mediana de edad de 70 años, 53,5% fueron mujeres y 44,9% de la muestra reside en áreas rurales. Nuestro estudio estimó una prevalencia global de depresión de 35,4%. Individuos fueron clasificados como depresión leve (1 239, 23,7%), moderada (457, 8,7%), severa (156,-~3%), y moderada/severa (11,7%). Entre los factores sociodemográficos, falta de educación (OR=3,69 [95% CI: 1,35-11,94]), raza afroecuatoriana (OR=2,1 [1,03-4,06]), vivir solo (OR=2,37 [1,673,31]), falta de ingresos (OR=3,56 [2,14-6,38]) y abuso físico (OR=2,33 [1,59-3,36]) permanecieron estadísticamente significativos. Entre los factores de salud, consumo de alcohol (OR=0,27 [0.08-0.66]), ejercicio (OR=1,68 [1,24 2,31]), incontinencia (OR=2,00 [1,54-2,59]), audición disminuida (OR=2,19 [1,41-3,32]), cáncer (OR=1,90 [1,00-3,51]) y dependencia funcional (OR=1,59 [1,22-2,08]) permanecieron estadísticamente significativos.  Conclusión Nuestra investigación trae luz a un importante problema de salud pública en el Ecuador. Abordar la depresión y sus factores de riesgo podrían ayudar a mejorar la calidad de vida y los desenlaces de salud a largo plazo en la creciente población adulta mayor del Ecuador.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[aged]]></kwd>
<kwd lng="en"><![CDATA[depressive disorder]]></kwd>
<kwd lng="en"><![CDATA[Ecuador (source: MeSH, NLM)]]></kwd>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="es"><![CDATA[trastorno depresivo]]></kwd>
<kwd lng="es"><![CDATA[Ecuador (fuente: DeCS, BIREME)]]></kwd>
</kwd-group>
</article-meta>
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