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86, 95% CI 1.98-7.54) and having insomnia (P less then 0.001, OR = 4.76, 95% CI 2.99-7.56) were associated with higher risk of depression. QOL was significantly lower in physical (F (1,632) = 35.421, P less then 0.001), psychological (F (1,632) = 20.777, P less then 0.001), social (F (1,632) = 8.169, P less then 0.001) and environmental domains (F (1,632) = 11.861, P less then 0.001) in those with depression. Conclusion Depression was common in older nursing home residents especially those living in the high-altitude region. Considerin