老年人抑郁及其相关因素：埃及的一项社区研究。
Depression and its associated factors among elderly: A community-based study in Egypt.
机构信息
Community Medicine Department, Faculty of Medicine, Mansoura University, Egypt.
出版信息
Arch Gerontol Geriatr. 2018 Jul-Aug;77:103-107. doi: 10.1016/j.archger.2018.04.011. Epub 2018 May 1.
BACKGROUND
Depression among the elderly constitutes a major public health concern that attracts worldwide attention. The aim of this study is to estimate the prevalence of depression and its associated factors among community dwelling elderly.
METHODS
A cross-sectional descriptive study with an analytic component was carried out in both urban and rural areas of Mansoura District during the period from October 1 to December 31, 2016. The target population is elderly aged 60 years or more of both genders. A total sample of 487 elderly was selected by systematic random sample from family files kept at Family Health Units. The response rate was 97.9%.
RESULTS
The overall prevalence of depression was 44.4%. Urban residence, insomnia, being a woman, life stressors, disturbed marital life, dependent old adults and absence of religiosity are the main independent predictors of depression among elder people.
CONCLUSIONS
This study provide an alarming signal for health professionals and health policy maker in Egypt for the need of a better recognition of depressive symptoms in elderly.
背景
老年人的抑郁是一个主要的公共卫生问题，引起了全世界的关注。本研究旨在评估社区居住的老年人中抑郁的流行率及其相关因素。
方法
这是一项 2016 年 10 月 1 日至 12 月 31 日期间在曼苏拉地区城乡进行的横断面描述性研究，包括分析部分。目标人群为男女两性、年龄在 60 岁及以上的老年人。通过家庭健康单位保存的家庭档案，采用系统随机抽样方法抽取了 487 名老年人作为总样本。应答率为 97.9%。
结果
总体抑郁患病率为 44.4%。城市居住、失眠、女性、生活压力、婚姻生活不和谐、依赖的老年人口和缺乏宗教信仰是老年人抑郁的主要独立预测因素。
结论
本研究为埃及的卫生专业人员和卫生政策制定者敲响了警钟，需要更好地认识老年人的抑郁症状。
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