Prevalence and Factors Affecting Mental Health among Older Adults: A Cross-Sectional Study in Rural South Karnataka
DOI:
https://doi.org/10.51957/Healthline_712_2025Keywords:
General Health Questionnaire-12, Mental Health, Older adults, Risk factors, South KarnatakaAbstract
Introduction: Ageing is a lifelong process of growing up and growing old. It begins at conception and ends with death. It is important to take into account the various physical and mental health issues that older adults experience. Objective: To determine the prevalence and factors affecting mental health among older adults. Methods: A cross-sectional study was conducted between January to June 2022 in the rural field practice area of tertiary care hospital in South Karnataka. Complete Enumeration method was used, total of 780 participant were interviewed using a semi-structured proforma. Mental health was assessed using General Health Questionnaire-12 (GHQ-12) which is a a short, self-administered questionnaire. Descriptive statistics were calculated using the mean, standard deviation, and proportion. To assess the relationship between risk factors, the chi square test was employed. Results: Using the GHQ-12 scoring, 50.4% of the older adults had mild distress & 18.6% of the older adults had severe distress. The factors affecting mental health were increase in age (p value<0.001), females (p value<0.01), poor occupational status (p value<0.001), poor socioeconomic status (p value<0.05), locomotor disability (p value<0.001) & those who suffered physical/mental abuse (p value<0.001). Conclusion: The mental health of older adults is at stake. It was observed that stress was seen with increasing age, females, unemployment, lower socioeconomic status, broken family, hypertension, lack of social support, disability, and abuse.
References
1. Health and well-being [Internet]. World Health Organization; [cited 2025 Mar 25]. Available from: https://www.who.int/data/gho/data/major-themes/health-and-well-being#:~:text=The%20WHO%20constitution%20states:%20%22Health,of%20mental%20disorders%20or%20disabilities
2. Scherbov S, Sanderson W. Measures of population ageing. World Population Ageing 2019. 2020;(February):13–24.
3. World Health Organization. Ageing [Internet]. World Health Organization. 2024. Available from: https://www.who.int/health-topics/ageing#tab=tab_1
4. Jaul E, Barron J. Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health. 2017;5:335. doi:10.3389/fpubh.2017
5. Nair SS, Raghunath P, Nair SS. Prevalence of Psychiatric Disorders among the Rural Geriatric Population: A Pilot Study in Karnataka, India. Cent Asian J Glob Health. 2015 Mar 10;4(1):138. doi: 10.5195/cajgh.2015.138.
6. Mumenin N, Kabir Hossain ABM, Hossain MdA, Debnath PP, Nusrat Della M, Hasan Rashed MdM, et al. Screening depression among university students utilizing GHQ-12 andmachinelearning.Heliyon.2024Sep;10(17):e37182 doi:10.1016/j.heliyon.2024.e37182
7. International Standard Classification of Occupations[Internet].Available from:https://webapps.ilo.org/ilostatfiles/ISCO/newdocs-08-2021/ISCO-08/ISCO-08%20EN%20Vol%201.pdf
8. Vander Heijden M,Schmidt A,Wall R.Broken families:Economic resources and social networks of women who head families. The history of the family.2007 Jan;12(4):223-32 doi:10.1016/j.hisfam.2007.12.006
9. Anjara SG, Bonetto C, Van Bortel T, Brayne C. Using the GHQ-12 to screen for mental health problems among primary care patients: Psychometrics and practical considerations. Int J Ment Health Syst. 2020 Aug 10;14(1):62. doi:10.1186/s13033-020-00397-0
10. Shivakumar P, Sadanand S, Bharath S, Girish N, Philip M, Varghese M. Identifying psychological distress in elderly seeking health care. Indian J Public Health. 2015 Jan 1;59(1):18. doi:10.4103/0019-557X.152849
11. Ramalingam A, Sarkar S, Premarajan KC, Rajkumar RP, Subrahmanyam DK. Prevalence and Correlates of Common Mental Disorders among the Rural Elderly in Puducherry, South India: A Cross-sectional Community-based Study. Int J Prev Med. 2018;9(1).
12. Kumar S, Pradhan MR. Self-rated health status and its correlates among the elderly in India. Journal of Public Health. 2018 Jul 30;27(3):291–9. doi:10.1007/s10389-018-0960-2
13. Nath A, Ingle G. Geriatric health in India: Concerns and solutions. Indian Journal of Community Medicine. 2008;33(4):214. doi: 10.4103/0970-0218.43225
14. Dey S, Nambiar D, Lakshmi JK, Sheikh K, Reddy KS. Health of the elderly in India: challenges of access and affordability. In: Smith JP, Majmundar M, editors. Aging in Asia: findings from new and emerging data initiatives. Washington (DC): National Academies Press (US); 2012. p. 15. Available from: https://www.ncbi.nlm.nih.gov/books/NBK109208
15. Ageing and adult health status in eight lower-income countries: the INDEPTH WHO-SAGE collaboration. Glob Health Action. 2010;3:10.3402/gha.v3i0.5302. doi:10.3402/gha.v3i0
16. National Sample Survey Organisation. National Sample Survey, 60th Round, Report no. 507 (60/25.0/1). New Delhi: Ministry of Statistics and Programme Implementation, Government of India; 2006. Morbidity, Health Care and the Condition of the Aged
17. Gupta I, Dasgupta P, Sawhney M. Health Of The Elderly In India Some Aspects of Vulnerability [Internet]. Available from: https://www.silverinnings.com/old/docs/Finance/Insurance/Health%20Insurance%20for%20Elderly%20in%20India.pdf
18. Dhak B. Gender Difference In Health And Its Determinants In The Old-Aged Population In India. Journal of Biosocial Science. 2009 Jun 29;41(5):625–43 doi:10.1017/S002193200999006X
19. Brinda EM, Attermann J, Gerdtham UG, Enemark U. Socio-economic inequalities in health and health service use among older adults in India: results from the WHO Study on Global AGEing and adult health survey. Public Health. 2016 Dec;141:32–41.doi:10.1016/j.puhe.2016.08.005
20. Yadava KNS, Yadava SS, Vajpeyi DK. A Study of Aged Population and Associated Health Risks in Rural India. The International Journal of Aging and Human Development. 1997 Jan 1;44(4):293–315. doi:10.2190/kwmq-ev5t-e5vf-abuy
21. Kumar K, Shukla A, Singh A, Ram F, Kowal P. Association between wealth and health among older adults in rural China and India. The Journal of the Economics of Ageing. 2016 Apr;7:43–52 doi: 10.1016/j.jeoa.2016.02.002
22. Goli S, Singh L, Jain K, Pou LMA. Socioeconomic Determinants of Health Inequalities Among the Older Population in India: A Decomposition Analysis. Journal of Cross-Cultural Gerontology. 2014 Oct 29;29(4):353–69.doi:10.1007/s10823-014-9251-8
23. Samanta T, Chen F, Vanneman R. Living Arrangements and Health of Older Adults in India. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2014 Dec 1;70(6):937–47.doi:10.1093/geronb/gbu164
24. Mcmurdo MET. A healthy old age: Realistic or futile goal? BMJ. 2000 Nov 4;321(7269):1149–51. doi:10.1136/bmj.321.7269.1149
25. Pengpid S, Peltzer K. Associations of loneliness with poor physical health, poor mental health and health risk behaviours among a nationally representative community‐dwelling sample of middle‐aged and older adults in India. International Journal of Geriatric Psychiatry. 2021 Jul 6;36(11).doi:10.1002/gps.5592
26. Latha KS: Elder abuse and neglect. Indian J Gerontol. 2008, 22: 467-479
27. Skirbekk V, James KS. Abuse against elderly in India - The role of education. BMC Public Health. 2014 Apr 9 ;14(1):1–8. doi: 10.1186/1471-2458-14-336
Downloads
Published
License
Copyright (c) 2025 Sivapria K, Kalesh P S (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Articles in "Healthline Journal" are Open Access articles. The license permits use, distribution and reproduction in any medium for non-commercial purposes only, provided the original work and source is properly cited, and the new creations are licensed under the identical terms.
