Swenson C J, Baxter J, Shetterly S M, Scarbro S L, Hamman R F
Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, USA.
Am J Epidemiol. 2000 Dec 1;152(11):1048-55. doi: 10.1093/aje/152.11.1048.
Literature on depression in rural and Hispanic elderly adults is sparse. This report describes the prevalence of depressive symptoms in 1,151 community-dwelling, Hispanic and non-Hispanic White participants in the San Luis Valley Health and Aging Study, conducted in rural Colorado during 1993-1995. The prevalence and odds ratios of high depressive symptoms, defined as a Center for Epidemiologic Studies Depression Scale score of > or = 16, were calculated. The crude prevalence of high depressive symptoms was 11.4% (95% confidence interval: 9.6, 13.6). Female gender, chronic diseases, dissatisfaction with social support, living alone, and lower income and education were associated with depressive symptoms. There were no ethnic differences in the men. The age-adjusted odds ratio of depressive symptoms in Hispanic women compared with that of non-Hispanic White women was 2.11 (95% confidence interval: 1.32, 3.38). After adjustment for multiple sociodemographic and health risk factors, the odds ratio in Hispanic women was 2.12 (95% confidence interval: 1.19, 3.80). Higher depressive symptoms in Hispanic women varied by acculturation level. The odds ratio in the high acculturation stratum was 1.56 (95% confidence interval: 0.75, 3.27) and in the low acculturation stratum was 2.51 (95% confidence interval: 1.11, 5.70). A lower acculturation level may increase the risk for depression in older Hispanic women.
关于农村和西班牙裔老年成年人抑郁症的文献稀少。本报告描述了1993 - 1995年在科罗拉多州农村进行的圣路易斯谷健康与老龄化研究中，1151名居住在社区的西班牙裔和非西班牙裔白人参与者中抑郁症状的患病率。计算了定义为流行病学研究中心抑郁量表得分≥16的高抑郁症状的患病率和比值比。高抑郁症状的粗患病率为11.4%（95%置信区间：9.6，13.6）。女性性别、慢性病、对社会支持的不满、独居以及较低的收入和教育程度与抑郁症状相关。男性中不存在种族差异。与非西班牙裔白人女性相比，西班牙裔女性抑郁症状的年龄调整后比值比为2.11（95%置信区间：1.32，3.38）。在对多个社会人口学和健康风险因素进行调整后，西班牙裔女性的比值比为2.12（95%置信区间：1.19，3.80）。西班牙裔女性较高的抑郁症状因文化适应水平而异。高文化适应层的比值比为1.56（95%置信区间：0.75，3.27），低文化适应层的比值比为2.51（95%置信区间：1.11，5.70）。较低的文化适应水平可能会增加老年西班牙裔女性患抑郁症的风险。
