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台湾社区老年人抑郁症状的患病率及危险因素

Prevalence and risk factors for depressive symptoms among community-dwelling elders in Taiwan.

作者信息

Tsai Yun-Fang, Yeh Shu-Hui, Tsai Hsiu-Hsin

机构信息

School of Nursing, Chang Gung University, Taiwan.

出版信息

Int J Geriatr Psychiatry. 2005 Nov;20(11):1097-102. doi: 10.1002/gps.1413.

Abstract

BACKGROUND

Depression in the elderly has become a serious health care issue worldwide. However, no studies have determined the prevalence and risk factors for depressive symptoms among a representative sample of community-dwelling elders in Taiwan.

OBJECTIVES

To determine the prevalence and risk factors for depressive symptoms among community-dwelling elders in Taiwan.

METHODS

Stratified random sampling was used to recruit a representative sample of 1200 elderly participants from northern, middle, southern, and eastern regions of Taiwan.

RESULTS

The prevalence of depressive symptoms was 27.5%. Logistic regression analysis demonstrated that having a respiratory disease, poor cognitive function, poor social support network, dissatisfaction with living situation, perception of poor health status, and perceived income inadequacy were significant predictors of depressive symptoms in this sample.

CONCLUSIONS

The risk factors for depression identified in this study need to be considered when assessing the health of elderly persons. In addition, interventions to reduce depressive symptoms in elders should include strategies to change some of these modifiable risk factors.

摘要

背景

老年人抑郁症已成为全球严重的医疗保健问题。然而,尚无研究确定台湾社区居住老年人代表性样本中抑郁症状的患病率及风险因素。

目的

确定台湾社区居住老年人抑郁症状的患病率及风险因素。

方法

采用分层随机抽样从台湾北部、中部、南部和东部地区招募1200名老年参与者的代表性样本。

结果

抑郁症状的患病率为27.5%。逻辑回归分析表明,患有呼吸系统疾病、认知功能差、社会支持网络不佳、对生活状况不满意、自我感觉健康状况差以及认为收入不足是该样本中抑郁症状的显著预测因素。

结论

在评估老年人健康状况时,需要考虑本研究中确定的抑郁症风险因素。此外,减轻老年人抑郁症状的干预措施应包括改变一些这些可改变风险因素的策略。

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