Dokuz Eylül University, Faculty of Medicine, Department of Neurology, İzmir, Turkey.
Dokuz Eylül University, Faculty of Medicine, Department of Biostatistics and Medical Informatics, İzmir, Turkey.
Arch Gerontol Geriatr. 2014 Jul-Aug;59(1):150-4. doi: 10.1016/j.archger.2014.03.014. Epub 2014 Apr 5.
Depression in the elderly is associated with increased morbidity and mortality. The purpose of this study was to determine the prevalence and risk factors of depression among community-dwelling older population in an urban setting in Turkey. This cross-sectional study was conducted among 482 elderly individuals 65 years and over in an urban area. Cluster sampling method was used for sample size. Depression in the elderly had been diagnosed by a clinical interview and Geriatric Depression Scale. Data were collected by door-to-door survey. Chi square test was used for statistical analysis. P value, which was calculated by the results of chi square test and coefficient of phi (φ), below 0.05 was included in the analysis of logistic regression. Depression was significantly associated with female gender, being single or divorced, lower educational status, low income, unemployment, and lack of health insurance. However, logistic regression analysis revealed higher depression rates in the elderly with chronic obstructive pulmonary disease, psychiatric disease, cerebrovascular disease, low income and being dependent. Depression is common among community-dwelling older people in an urban area of Izmir, Turkey. Older adults living in community should be cautiously screened to prevent or manage depression.
老年人抑郁与发病率和死亡率增加有关。本研究旨在确定土耳其城市社区老年人中抑郁的患病率和危险因素。本横断面研究在城市地区对 482 名 65 岁及以上的老年人进行。采用聚类抽样方法确定样本量。通过临床访谈和老年抑郁量表诊断老年人的抑郁。通过逐户调查收集数据。采用卡方检验进行统计学分析。卡方检验结果和φ系数（φ）计算的 P 值低于 0.05 纳入 logistic 回归分析。抑郁与女性、单身或离异、受教育程度低、收入低、失业和缺乏健康保险显著相关。然而，logistic 回归分析显示，患有慢性阻塞性肺疾病、精神疾病、脑血管疾病、低收入和依赖的老年人抑郁率更高。抑郁在土耳其伊兹密尔市的社区居住老年人中很常见。应谨慎对社区居住的老年人进行筛查，以预防或管理抑郁。
