摘要
目的：探讨城乡社区老年期抑郁症患病率及相关因素的差异。方法：在安徽省城乡社区老年期抑郁症及痴呆症队列研究的基础上，应用老年精神状况量表（Geriatric Mental State Schedule，GMS）对≥65岁的老年人（n=1757）进行了访谈，抑郁症由与GMS相配套的计算机诊断系统（Automated Geriatric Examination for Computer Assisted Taxonomy，AGECAT）进行诊断。使用标化率进行城乡患病率的比较；运用logistic回归分析影响因素。结果：城市社区667人，农村社区1090人；城乡社区老年期抑郁症标化患病率分别为3．60％（95％CI：1．64％～5．57％）和6．24％（95％CI：4．67％-7．82％）；多因素分析结果显示，独居、担心子女、自评生活一般、与朋友交流（每月1次）和负性事件数（≥2件，近两年）是城市社区老人患抑郁症的危险因素[如独居OR（95％CI）：8．63（1．76～42．45），均P〈0．05]；担心子女、自评健康一般、有宗教信仰、从不与亲人交流、与邻居交流和负性事件数（i〉2件，近两年）是农村社区老人患抑郁症的危险因素[如担心子女OR（95％CI）：2．90（1．34—6．27），均P〈0．05]。结论：农村社区老年期抑郁症患病率高于城市社区；农村社区老人患抑郁症相关因素多于城市社区；担心子女和近两年负性事件发生数量（I〉2）是城乡社区老人患抑郁症的共同危险因素。
Objective： To determine the differences of prevalence and risk factors for depression among old people between rural and urban community. Methods： Based on the cohort study of depression and dementia among old people, 1757 people aged ≥65 years old were interviewed with the Geriatric Mental State Schedule（ GMS, the 3rd Version）, and the diagnosis of depression was made with the Automated Geriatric Examination for Computer Assisted Taxonomy（AGECAT）. The prevalence rates of depression with 95 % CIs in rural and urban community were compared using standardized prevalence rate. The association of depression with risk factors was explored using a lo-gistic regression model. Results：A total of 1757 subjects aged ≥ 65 years were followed up including 667 from urban community and 1090 from the rural. The prevalence of depression was 3.60% in urban community （China age standardized） （95% CI, 1.64% - 5.57% ）, and 6. 24% （95% CI, 4. 67% - 7. 82% ） in rural community. Depression was significantly associated with living model, worry about children, life satisfaction（common）, contact with friends （once a month） and the amount of adverse life events in past 2 years （ ≥2）in urban community （P 〈0.05）. In rural community, depression was associated with worry about children, self-rating health status （common）, religions belief （yes）, contact with relatives （never）, contact with neighbors （ no very often） and the amount of adverse life events in the past 2 years（32） （ Ps 〈 0. 05）. Conclusion： The elderly people in urban community have a lower risk of depression than those in the rural. Worry about children and the amount of adverse life events in the past 2 years（ ≥2）are the common risk factors for the old people in urban and rural community.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2010年第10期752-756,共5页
Chinese Mental Health Journal
基金
安徽省自然科学基金(090413141)
英国皇家学会资助项目(574006.G60/22085/SM)
关键词
抑郁症
老年人
患病率
危险因素
城乡社区
比较研究
depression
aged
prevalence
risk factors
rural and urban community
comparative research
