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患者群体中抑郁症患病率的性别差异:一项系统综述。

Gender disparity in prevalence of depression among patient population: a systematic review.

作者信息

Abate Kalkidan Hassen

机构信息

Department of Biomedical Sciences, Jimma University, Ethiopia.

出版信息

Ethiop J Health Sci. 2013 Nov;23(3):283-8. doi: 10.4314/ejhs.v23i3.11.

Abstract

BACKGROUND

Many people are unable to withstand the set point for usual vicissitudes of life and are overwhelmed by depression, especially when there is a potential stressor like a disease. Gender is very important in defining susceptibility and exposure to a number of mental health risks. The objective of this review is to systematically identify, appraise and synthesize the best available evidence on gender disparity in prevalence of depression among patient populations.

METHODS

Observational analytical studies done on patients of 18 years old were included. The JBI-MAStARI tool for extraction was used to pool quantitative data. Review Manager Software was used for meta-analysis and Odds ratios and their 95% confidence intervals were calculated.

RESULT

On Meta-analysis, a total of 19639 patients were involved, with male to female ratio of 1.14:1. The finding of the Meta analysis showed that male sex is 63% less likely to develop depression than female sex (Odds ratio=0.63, 95% Confidence Interval= 0.59, 0.68). The studies included were homogenous; Heterogeneity test: Chi(2) = 309.23, df = 30, (P < 0.00001).

CONCLUSION

Depression is more common among females than male patients.

摘要

背景

许多人无法承受生活中常见的变迁所设定的临界点,会被抑郁症所困扰,尤其是当存在诸如疾病等潜在压力源时。性别在确定对多种心理健康风险的易感性和暴露程度方面非常重要。本综述的目的是系统地识别、评估和综合关于患者群体中抑郁症患病率性别差异的最佳现有证据。

方法

纳入对18岁患者进行的观察性分析研究。使用JBI-MAStARI提取工具汇总定量数据。使用Review Manager软件进行荟萃分析,并计算优势比及其95%置信区间。

结果

荟萃分析共纳入19639例患者,男女比例为1.14:1。荟萃分析结果显示,男性患抑郁症的可能性比女性低63%(优势比=0.63,95%置信区间=0.59,0.68)。纳入的研究具有同质性;异质性检验:卡方=309.23,自由度=30,(P<0.00001)。

结论

抑郁症在女性患者中比男性患者更常见。

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