Hosseini Seyed Reza, Zabihi Ali, Ebrahimi Seyed Hesameddin, Jafarian Amiri Seyedeh Roghayeh, Kheirkhah Farzan, Bijani Ali
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
J Res Health Sci. 2018 Dec 3;18(4):e00431.
Anemia is the most prevalent blood disorder in older adults which can have negative effects on the quality of life and lead to the onset of depressive symptoms. We aimed to determine the prevalence of anemia accompanied by depression among older people in the city of Amirkola, north of Iran.
A cross-sectional study.
Overall, 1616 older people aged 60 and over (883 males and 733 females) were enrolled in the city of Amirkola, north of Iran since 2011. To diagnose anemia we used WHO criterion which is a hemoglobin value of less than 12 and 13 g/dl in women and men, respectively. We also used Geriatric Depression Scale (GDS) to detect the presence of depression symptoms. The data were analyzed using SPSS version18.0 and statistical tests.
The prevalence of anemia was 19% (302 out of 1616 participants). The prevalence of anemia in women was 20.3% and in men was 17.9%. In people with and without depressive symptoms it was 23.2% and 15.8%, respectively. The mean hemoglobin level in people with and without depressive symptoms was 13.29 ±1.63 and 13.96 ±1.50, respectively (P<0.001). According to logistic regression model, depressive symptoms were most highly related to gender (OR=3.67; 95% CI: 2.80, 4.81) and besides that smoking, Mini-Mental Estate Examination (MMSE), diabetes and anemia (OR=1.46; 95% CI: 1.09, 1.95) were related to depression.
Significant prevalence of anemia and direct association with depressive symptoms in the elderly reflect the need for proper planning for prevention interventions, accurate and continuous screening of these diseases.
贫血是老年人中最常见的血液疾病，会对生活质量产生负面影响并导致抑郁症状的出现。我们旨在确定伊朗北部阿米拉科拉市老年人中伴有抑郁症的贫血患病率。
一项横断面研究。
自2011年以来，伊朗北部阿米拉科拉市共纳入了1616名60岁及以上的老年人（883名男性和733名女性）。我们采用世界卫生组织的标准诊断贫血，即女性血红蛋白值低于12 g/dl，男性低于13 g/dl。我们还使用老年抑郁量表（GDS）来检测抑郁症状的存在。使用SPSS 18.0版软件和统计检验对数据进行分析。
贫血患病率为19%（1616名参与者中有302名）。女性贫血患病率为20.3%，男性为17.9%。有抑郁症状和无抑郁症状的人群中贫血患病率分别为23.2%和15.8%。有抑郁症状和无抑郁症状人群的平均血红蛋白水平分别为13.29±1.63和13.96±1.50（P<0.001）。根据逻辑回归模型，抑郁症状与性别最为相关（比值比=3.67；95%置信区间：2.80，4.81），此外，吸烟、简易精神状态检查表（MMSE）、糖尿病和贫血（比值比=1.46；95%置信区间：1.09，1.95）与抑郁症有关。
老年人中贫血的高患病率以及与抑郁症状的直接关联反映了需要对预防干预措施进行合理规划，对这些疾病进行准确且持续的筛查。
