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确定居住在越南农村地区的老年人的抑郁风险。

Determining Risk for Depression among Older People Residing in Vietnamese Rural Settings.

机构信息

Department of Gerontology and Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam.

Scientific Research Department, National Geriatric Hospital, Hanoi 100000, Vietnam.

出版信息

Int J Environ Res Public Health. 2019 Jul 25;16(15):2654. doi: 10.3390/ijerph16152654.

Abstract

(1) Background: Major causes of the burden of disease in older persons include mental disorders and neurological diseases, such as depression. This study aims to explore the prevalence of older people at risk for depression and identify the factors associated with this risk in rural Vietnam. (2) Methods: A cross-sectional study was conducted in Soc Son, Hanoi with 523 community dwelling elders aged 60 and over. Face-to-face interviews were performed to collect data about socioeconomic status, risk for depression, health status, and health utilization. The Geriatric Depression Scale-4 items (GDS-4) was used to assess the risk for depression occurrence. Multivariable logistic regression was employed for determining the factors associated with the risk for depression. (3) Results: Among 523 participants, there were 26.4% of participants at risk for depression. The proportion of females at risk for depression (29.0%) was significantly higher than males (20.4%). Differences were found in economic status (near poor group had higher risk for depression compared to the poor group) ( < 0.01). Older adults living with spouse/partner, living in near-poor household, and suffering pain/discomfort were all more likely to be at risk for depression. (4) Conclusions: Being female, living in a near poor household, being in pain or experiencing discomfort are all factors strongly correlated to high risk for depression. These findings highlight the urgent need for additional research among Vietnamese community-dwelling older people.

摘要

(1) 背景:老年人疾病负担的主要原因包括精神障碍和神经系统疾病,如抑郁症。本研究旨在探讨越南农村老年人患抑郁症风险的流行情况,并确定与这种风险相关的因素。 (2) 方法:在河内的 Soc Son 进行了一项横断面研究,共有 523 名 60 岁及以上的社区居住老年人参与。通过面对面访谈收集有关社会经济状况、抑郁风险、健康状况和卫生利用情况的数据。使用老年抑郁量表-4 项(GDS-4)评估抑郁发生的风险。采用多变量逻辑回归确定与抑郁风险相关的因素。 (3) 结果:在 523 名参与者中,有 26.4%的参与者有患抑郁症的风险。女性患抑郁症的风险(29.0%)明显高于男性(20.4%)。在经济状况方面存在差异(与贫困群体相比,接近贫困群体的风险更高)(<0.01)。与配偶/伴侣一起生活、生活在接近贫困家庭以及遭受疼痛/不适的老年人更有可能面临抑郁风险。 (4) 结论:女性、生活在接近贫困的家庭、有疼痛或不适是与高抑郁风险密切相关的因素。这些发现强调了在越南社区居住的老年人中进行更多研究的迫切需要。

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