Flores Renee J, Campo-Arias Adalberto, Stimpson Jim P, Chalela Claudia M, Reyes-Ortiz Carlos A
1 Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA.
2 Programa de Medicina, Facultad de Ciencias de la Salud, Universidad del Magdalena, Santa Marta, Colombia.
J Geriatr Psychiatry Neurol. 2018 Jan;31(1):13-18. doi: 10.1177/0891988717743588. Epub 2017 Nov 26.
To explore the association between past sexual abuse and depression in elders living in Bogotá, Colombia, we used data from the SABE (Salud, Bienestar y Envejecimiento [Health, Well-being, and Aging]) Bogotá Study. Participants were 2000 community-dwelling adults aged 60 years and older in 2012. Sexual abuse was assessed by self-report. Depression was measured by the Geriatric Depression Scale. The weighted prevalence estimate was 2.6% for past sexual abuse and 23.4% for depression. Multivariate data analyses showed significantly higher odds of depression for past sexual abuse (odds ratio [OR] = 3.91, 95% confidence interval [CI]: 2.13-7.16). Other characteristics associated with depression were history of being displaced by violence (OR = 1.77, 95% CI: 1.30-2.40), low socioeconomic status, low education, poor self-rated health status, and poor self-rated memory. Thus, past sexual abuse and history of being displaced by violence were strongly associated with depression among Colombian elderly individuals.
为探究哥伦比亚波哥大地区老年人过去遭受性虐待与抑郁症之间的关联,我们使用了来自波哥大SABE(健康、幸福与老龄化)研究的数据。研究对象为2012年居住在社区的2000名60岁及以上的成年人。性虐待通过自我报告进行评估。抑郁症通过老年抑郁量表进行测量。过去遭受性虐待的加权患病率估计为2.6%,抑郁症为23.4%。多变量数据分析显示,过去遭受性虐待的人患抑郁症的几率显著更高(优势比[OR]=3.91,95%置信区间[CI]:2.13 - 7.16)。与抑郁症相关的其他特征包括因暴力而流离失所的经历(OR = 1.77,95% CI:1.30 - 2.40)、社会经济地位低、教育程度低、自我评定健康状况差以及自我评定记忆力差。因此,过去遭受性虐待和因暴力而流离失所的经历与哥伦比亚老年人群中的抑郁症密切相关。