Factors associated with depression among Homebound older adult in Maha Sarakham Town Municipality

Abstract

In the era of rapidly expanding aging societies, maintaining both the physical and mental health of the elderly has become a critical issue that cannot be overlooked. This is especially true for homebound older adults—those with limited mobility or who are unable to leave their homes—who are at greater risk of developing depression compared to other elderly groups. This vulnerability stems from physical changes, social isolation, and limited access to healthcare services. If these issues are not properly addressed or prevented, they may negatively affect the quality of life and long-term well-being of this population. This study aimed to examine the level of depression among homebound elderly individuals and to identify factors associated with depression in this group within the municipality of Maha Sarakham. The sample consisted of 280 homebound elderly individuals selected through purposive sampling. Data were collected from December 2024 to May 2025 using questionnaires. Descriptive statistics, including frequency, percentage, mean, standard deviation, minimum, and maximum, were used to analyze the data. Inferential statistics involved Pearson’s correlation coefficient.

            The results revealed that the overall level of depression among homebound elderly participants was mild, with a mean score of 8.7 (S.D. = 0.2). Factors significantly associated with depression at the 0.05 level included age, income, health status, and attitude for depression. Therefore, relevant agencies should implement regular monitoring and screening of both physical and mental health, supported by concrete evaluation processes. Families should closely care for the elderly, and communities should continuously promote participatory activities to help the elderly recognize their self-worth, which may help prevent the future onset of depression.