Bretanha Andréia Ferreira, Facchini Luiz Augusto, Nunes Bruno Pereira, Munhoz Tiago N, Tomasi Elaine, Thumé Elaine
Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Rev Bras Epidemiol. 2015 Jan-Mar;18(1):1-12. doi: 10.1590/1980-5497201500010001. Epub 2015 Mar 1.
To identify the prevalence of depressive symptoms and associated factors in elderly.
Cross-sectional study of population-based sample of 1,593 individuals aged 60 years or more in the urban area of Bagé, Rio Grande do Sul, Brazil, in 2008. Data were collected in household interviews. The prevalence of depressive symptoms was assessed using the Geriatric Depression Scale. The analysis was performed using Poisson regression with robust variance estimation.
The prevalence of depressive symptoms was 18.0%, with the 95% confidence interval 16.1 - 19.9. The majority of the sample consisted of women (62.8%). The mean age was 70 years, with a 8.24 standard deviation (SD); 25.1% of seniors aged 60 to 64 years and 31.2% were 75 years or older. In the adjusted analysis, depressive symptoms were significantly associated (p value < 0.05) with the elderly female, yellow, brown or indigenous descendancy, lower economic status, retired, with history of heart problems, incapacity to basic and instrumental activities of daily living, worse self-rated health and dissatisfaction with life in general. Age, marital status, education, self-reported hypertension and diabetes were not associated with depressive symptoms after adjusting for confounders.
The high prevalence of depressive symptoms in the population requires investment in preventive actions, noting the need for practices that promote active aging with the maintenance of functional activity, improving self-rated health and life satisfaction.
确定老年人抑郁症状的患病率及相关因素。
2008年在巴西南里奥格兰德州巴热市区对1593名60岁及以上的个体进行基于人群的横断面研究。通过家庭访谈收集数据。使用老年抑郁量表评估抑郁症状的患病率。采用稳健方差估计的泊松回归进行分析。
抑郁症状的患病率为18.0%,95%置信区间为16.1 - 19.9。样本中大多数为女性(62.8%)。平均年龄为70岁,标准差为8.24;60至64岁的老年人中25.1%,75岁及以上的占31.2%。在调整分析中,抑郁症状与老年女性、黄色、棕色或原住民后裔、经济地位较低、退休、有心脏病史、无法进行基本和工具性日常生活活动、自我评估健康状况较差以及总体生活不满意显著相关(p值<0.05)。在调整混杂因素后,年龄、婚姻状况、教育程度、自我报告的高血压和糖尿病与抑郁症状无关。
人群中抑郁症状的高患病率需要在预防行动上进行投入,注意需要采取促进积极老龄化的措施,维持功能活动,改善自我评估健康状况和生活满意度。