Wong Samuel Yeung Shan, Chan Dicken, Leung Ping Chung
Department of Community and Family Medicine, Chinese University of Hong Kong, 4/F, School of Public Health, Prince of Wales Hospital, Shatin, NT.
J Affect Disord. 2006 Jun;92(2-3):215-20. doi: 10.1016/j.jad.2006.01.027. Epub 2006 Mar 7.
To evaluate the prevalence and risk factors of depressive symptoms in middle-aged Chinese men aged 45-64.
A community-based cross-sectional household survey was performed in Hong Kong. Demographic, lifestyle and medical information were obtained from a standardized questionnaire. Clinically relevant depressive symptoms were measured by the Centre for Epidemiological Studies Depression Scale (CES-D).
Five hundred forty five men participated in this study (response rate: 72.4%); 18.1% suffered from clinically depressive symptoms. For psychosocial factors in bivariate analyses, being divorced/separated/widowed, living alone, having an education level of primary school or less, having a low income, unemployment and having experienced a significant life event over the past year were associated with an increased odds of having depressive symptoms. In multiple regression analysis, living alone, being unemployed and having experienced a negative life event such as having experienced serious financial trouble, having given up a hobby or activity that was important to subject and having been separated from a child, close friend or relative were associated with increased odds of having clinically relevant depressive symptoms.
Although random sampling was performed, there might be a selection bias for men who were unemployed and at home at the time of the interview.
Clinically relevant depressive symptoms are an important public health problem in Chinese middle-aged men particularly those who are unemployed, have a negative life events and live alone. As middle-aged men are at high risk for suicide, public health intervention should be targeted at these men.
评估年龄在45 - 64岁的中国中年男性抑郁症状的患病率及危险因素。
在香港开展了一项基于社区的横断面家庭调查。通过标准化问卷获取人口统计学、生活方式及医疗信息。采用流行病学研究中心抑郁量表（CES - D）测量具有临床意义的抑郁症状。
545名男性参与了本研究（应答率：72.4%）；18.1%患有临床抑郁症状。在双变量分析中的社会心理因素方面，离婚/分居/丧偶、独居、小学及以下教育水平、低收入、失业以及在过去一年经历重大生活事件与抑郁症状发生几率增加相关。在多元回归分析中，独居、失业以及经历诸如遭遇严重经济困难、放弃对受试者重要的爱好或活动以及与孩子、亲密朋友或亲属分离等负面生活事件与具有临床相关抑郁症状的几率增加相关。
尽管进行了随机抽样，但对于在访谈时失业且在家的男性可能存在选择偏倚。
具有临床相关的抑郁症状是中国中年男性尤其是那些失业、经历负面生活事件且独居者中的一个重要公共卫生问题。鉴于中年男性自杀风险高，公共卫生干预应针对这些男性。
