McGuire Lisa C, Strine Tara W, Allen Rebecca S, Anderson Lynda A, Mokdad Ali H
Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.
Am J Geriatr Psychiatry. 2009 Apr;17(4):324-34. doi: 10.1097/JGP.0b013e3181953bae.
To examine the prevalence and sociodemographic predictors of current depressive symptoms among adults aged 65 years and older.
Participants were obtained from the 2006 Behavioral Risk Factor Surveillance System, a population-based list-assisted random-digit-dialed telephone survey of the noninstitutionalized U.S. adults.
A total of 45,534 participants aged 65 years and older were interviewed.
Participants completed the Patient Health Questionnaire 8. Those with a Patient Health Questionnaire 8 score >or=10 were considered to have current depressive symptoms.
Our findings indicated that 95.1% of people >or=65 years old did not report current depressive symptoms and 4.9% reported current depressive symptoms. Younger adults (65-74 years), those with a high school education or less, those with an income of less than $50,000, those with good to fair self-rated health, and those with a disability were more likely to have current depressive symptoms. When stratified by age (65-74, >or=75), there was no difference in the prevalence of current depressive symptoms between the age groups. However, when the authors stratified by age group both adults 65-74 years olds and those >or=75 years old, only people with worse self-rated health and those who reported a disability were more likely to have indicated current depressive symptoms.
The continued collection of data on current depressive symptoms from a population-based sample of older adults can be used by policymakers and public health officials to identify local health needs and burdens that can assist in planning, directing, implementing, and monitoring the effectiveness of strategies.
研究65岁及以上成年人当前抑郁症状的患病率及其社会人口学预测因素。
参与者来自2006年行为危险因素监测系统,这是一项基于人群的、通过列表辅助随机数字拨号进行的针对非机构化美国成年人的电话调查。
共采访了45534名65岁及以上的参与者。
参与者完成了患者健康问卷8项。患者健康问卷8项得分≥10分的被认为有当前抑郁症状。
我们的研究结果表明,95.1%的65岁及以上人群未报告当前有抑郁症状,4.9%的人报告有当前抑郁症状。年龄较小的成年人(65 - 74岁)、高中及以下学历者、收入低于5万美元者、自我健康评价为良好至中等者以及残疾人士更有可能有当前抑郁症状。按年龄分层(65 - 74岁、≥75岁)时,各年龄组当前抑郁症状的患病率无差异。然而,当作者按年龄组对65 - 74岁的成年人和≥75岁的成年人进行分层时,只有自我健康评价较差的人和报告有残疾的人更有可能表明有当前抑郁症状。
政策制定者和公共卫生官员可以利用持续从基于人群的老年样本中收集的关于当前抑郁症状的数据,来确定当地的健康需求和负担,这有助于规划、指导、实施和监测策略的有效性。