印度安得拉邦奇图尔农村老年人口的精神疾病患病率及其与社会人口学因素的关联：一项基于社区的研究。

Prevalence of mental illness and their association with sociodemographic factors in the rural geriatric population in Chittoor, Andhra Pradesh, India: A community-based study.

作者信息

Nagoor Khadervali, Darivemula Surendra Babu, Reddy N Bayapa, Patan Shakeer Kahn, Deepthi C Sravana, Chittooru Chandra Sekhar

机构信息

Department of Community Medicine, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.

出版信息

J Educ Health Promot. 2018 Dec 28;7:165. doi: 10.4103/jehp.jehp_193_18. eCollection 2018.

DOI:10.4103/jehp.jehp_193_18

PMID:30788375

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6333028/

Abstract

BACKGROUND

Mental health problems such as cognitive impairment, depression, anxiety, and sleep disorders arising out of senility, neurosis, and living conditions are common in the geriatric population.

OBJECTIVE

The objective of this study was to estimate the prevalence of mental illness and to describe their sociodemographic factors in the rural geriatric population and see their association with other factors.

METHODOLOGY

A community-based cross-sectional study was done on individuals aged more than 60 years. The study instruments were predesigned semi-structured questionnaire, Folstein's Mini-Mental Status Examination Scale for assessing dementia in cognitive functioning and Yesavages Geriatric Depression Scale to estimate the prevalence of depression and to assess the activities of the daily living by Barthel index and the anxiety were assessed based on the perception of the participants while conducting the interview.

RESULTS

A total of 415 individuals participated, out of them 199 (47.9%) were males and 216 (52.1%) were females. Prevalence of mental illness was 217 (52.2%) with one or the other type of mental illness. The prevalence of cognitive impairment was 47.7% and depression according to Geriatric Depression Scale >5 was 27.7%. The remaining 62 (14.9%) had dementia and 30 (7.2%) had anxiety disorder as the mental illness. The socio-demographic factors such as age more than 70 years, female gender, illiterates, living in joint family, middle and lower socio-economic class, financially totally dependent and had poor and unfair relationship with the family members were strongly associated with the mental illness and it was statistically significant with < 0.05.

CONCLUSION

Measures should be taken to support the elders, establish community elderly societies, advisory offices, and services to help the elderly. The sequence of social interventions required for the management of the elderly psychological problems.

摘要

背景

由衰老、神经症和生活状况引起的认知障碍、抑郁、焦虑和睡眠障碍等心理健康问题在老年人群中很常见。

目的

本研究的目的是估计农村老年人群中精神疾病的患病率，描述其社会人口学因素，并观察它们与其他因素的关联。

方法

对60岁以上的个体进行了一项基于社区的横断面研究。研究工具包括预先设计的半结构化问卷、用于评估认知功能中痴呆症的福尔斯坦简易精神状态检查表，以及用于估计抑郁症患病率和通过巴氏指数评估日常生活活动的耶萨维奇老年抑郁量表，焦虑则根据访谈时参与者的感受进行评估。

结果

共有415人参与，其中199人（47.9%）为男性，216人（52.1%）为女性。患有一种或另一种精神疾病的精神疾病患病率为217人（52.2%）。认知障碍患病率为47.7%，根据老年抑郁量表>5的抑郁症患病率为27.7%。其余62人（14.9%）患有痴呆症，30人（7.2%）患有焦虑症作为精神疾病。年龄超过70岁、女性、文盲、生活在大家庭、社会经济阶层为中低阶层、经济完全依赖且与家庭成员关系不佳等社会人口学因素与精神疾病密切相关，且在<0.05时具有统计学意义。