Busch Markus A, Neuner Bruno, Aichberger Marion C, Hapke Ulfert, Riedel-Heller Steffi G, Luppa Melanie
Die Institute sind am Ende des Artikels gelistet.
Psychiatr Prax. 2013 May;40(4):214-9. doi: 10.1055/s-0032-1333026. Epub 2013 Mar 25.
To examine the association between depressive symptoms and the use of health services among people aged 50 years or older in Germany.
Data came from the German subsample of the "Survey of Health, Ageing and Retirement in Europe (SHARE)", comprising a nationally representative sample of 2890 German residents aged 50 years or older (mean age 65 years, 55 % women). The cross-sectional association between depressive symptoms (EURO-D scale ≥ 4 points) and health service use was examined by multivariable regression analysis.
Depressive symptoms were found in 21 % of respondents and were associated with a higher utilisation of health care services (odds ratio [OR] 2.3, 95 % confidence interval [CI] 1.2 - 4.3) and social care services (OR 2.6, 95 % CI 1.5 - 4.7) even after adjusting for sociodemographic and psychosocial factors, cognitive function and indicators of physical health.
Participants with depressive symptoms had a higher service utilisation independent of somatic comorbidity and other potential confounders.
研究德国50岁及以上人群中抑郁症状与医疗服务使用之间的关联。
数据来自“欧洲健康、老龄化与退休调查（SHARE）”的德国子样本，包括2890名年龄在50岁及以上的德国居民（平均年龄65岁，55%为女性）的全国代表性样本。通过多变量回归分析研究抑郁症状（欧洲抑郁量表≥4分）与医疗服务使用之间的横断面关联。
21%的受访者存在抑郁症状，即使在对社会人口学和心理社会因素、认知功能以及身体健康指标进行调整后，抑郁症状仍与更高的医疗保健服务利用率（比值比[OR]2.3，95%置信区间[CI]1.2 - 4.3）和社会护理服务利用率（OR 2.6，95%CI 1.5 - 4.7）相关。
有抑郁症状的参与者在不考虑躯体合并症和其他潜在混杂因素的情况下，服务利用率更高。
