Taheri Tanjanai Parisa, Moradinazar Mahdi, Najafi Farid
Department of Internal Medicine, Ayatollah Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Research Committee, Determinants of Health School of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Geriatr Gerontol Int. 2017 Jan;17(1):126-131. doi: 10.1111/ggi.12680. Epub 2016 Jan 28.
Depression is the most common psychiatric disorder and the second most common cause of disability among older adults. The objective of the present study was to investigate the prevalence of depression and related social and physical factors in the Iranian elderly population in 2012.
In this cross-sectional study, 1350 Iranian older adults aged older than 60 years were selected considering the gender proportion of the population of five out of 31 provinces of Iran. To define depression, the short form (15-item) of the Geriatric Depression Scale was administered. To analyze the data, logistic regression was carried out using stata software (version 12.0).
From 1350 participants, 642 (47.5%) were men and the rest were women. The mean ± SD age of the sample was 69 ± 7 years. The prevalence of depression was 36.7% (42.5% in women and 30.2% in men). At the bivariate level, sex, educational level, marital status, satisfaction with income, occupation, relationship with the financial provider, leisure time, activities of daily living, and frequency of meeting with friends and relatives were factors determining the odds of depression. However, after multivariate control, marital status and educational level were removed from the final model. In contrast, smoking, which was insignificant at the bivariate level, became significant at the multivariate level.
Depression has a high prevalence among the Iranian elderly population. Therefore, it is important that this vulnerable group is provided with access to supportive environments that involve active participation in occupational and social activities, which in turn help reduce the chance of suffering from depression. Geriatr Gerontol Int 2017; 17: 126-131.
抑郁症是最常见的精神障碍，也是老年人残疾的第二大常见原因。本研究的目的是调查2012年伊朗老年人群中抑郁症的患病率以及相关的社会和身体因素。
在这项横断面研究中，根据伊朗31个省份中5个省份的人口性别比例，选取了1350名60岁以上的伊朗老年人。采用老年抑郁量表简版（15项）来定义抑郁症。使用Stata软件（版本12.0）进行数据逻辑回归分析。
1350名参与者中，642名（47.5%）为男性，其余为女性。样本的平均年龄±标准差为69±7岁。抑郁症的患病率为36.7%（女性为42.5%，男性为30.2%）。在双变量层面，性别、教育程度、婚姻状况、对收入的满意度、职业、与经济供养者的关系、休闲时间、日常生活活动以及与朋友和亲戚见面的频率是决定抑郁症患病几率的因素。然而，在多变量控制后，婚姻状况和教育程度从最终模型中被剔除。相比之下，在双变量层面不显著的吸烟在多变量层面变得显著。
抑郁症在伊朗老年人群中患病率很高。因此，为这一弱势群体提供参与职业和社会活动的支持性环境非常重要，这反过来有助于减少患抑郁症的几率。《老年医学与老年病学国际杂志》2017年；17：126 - 131。
