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调查土耳其布尔杜尔的老年人中抑郁症的流行情况及其相关因素。

Determining the prevalence of depression among older adults living in Burdur, Turkey, and their associated factors.

机构信息

Faculty of Health Sciences, Burdur Mehmet Akif Ersoy University, Burdur, Turkey.

Faculty of Medicine, Department of Public Health, Selçuk University, Konya, Turkey.

出版信息

Psychogeriatrics. 2020 Jul;20(4):370-376. doi: 10.1111/psyg.12515. Epub 2020 Jan 29.

Abstract

BACKGROUND

This study aimed to determine the prevalence of depression among older adults living in Burdur, Turkey, and their associated factors.

METHODS

This analytical cross-sectional study was conducted between May 1, 2015 and August 20, 2015 comprising 35 339 subjects aged ≥65 years living in Burdur; the sample was 770 subjects identified using a population-weighted cluster sampling method. Data were collected by using personal information forms, Geriatric Depression Scale, and the Older People's Quality of Life Scale of the World Health Organization. The statistical analysis was performed by using t-test for independent samples, one-way analysis of variance and post hoc multiple comparison tests, Pearson correlation, and regression analysis. P < 0.05 was considered as significant.

RESULTS

Of the study population, 51.8% had a score of ≥14 (definite depression). According to the regression model, the prevalence of depression was higher in older adults aged ≥85 years than in older adults aged 65-74 years (P < 0.01), in females than in males (P < 0.01), in individuals who never consumed alcohol than in those who consumed alcohol (P = 0.04), and in older adults who perceived their health as poor than in those who were unsure about their health and perceived their health as good (P < 0.01). Correlation analysis showed a poor, negative, and significant correlation (r = -0.38; P < 0.01) between the total scores of Older People's Quality of Life Scale of the World Health Organization and Geriatric Depression Scale.

CONCLUSIONS

The prevalence of depression is high among older adults aged ≥65 years. Age, gender, alcohol consumption, health perception, and quality of life are important predictors of depression.

摘要

背景

本研究旨在确定土耳其布尔杜尔市老年人群中抑郁的患病率及其相关因素。

方法

这是一项分析性的横断面研究,于 2015 年 5 月 1 日至 8 月 20 日进行,共纳入 35339 名年龄≥65 岁的布尔杜尔居民;采用人群加权聚类抽样方法,抽取了 770 名研究对象。使用个人信息表、老年抑郁量表和世界卫生组织老年人生活质量量表收集数据。采用独立样本 t 检验、单因素方差分析和事后多重比较检验、Pearson 相关分析和回归分析进行统计分析。P<0.05 被认为具有统计学意义。

结果

研究人群中,有 51.8%的人得分为≥14 分(明确抑郁)。根据回归模型,≥85 岁的老年人比 65-74 岁的老年人(P<0.01)、女性比男性(P<0.01)、从不饮酒的人比饮酒的人(P=0.04)、自认为健康状况不佳的老年人比不确定健康状况和自认为健康状况良好的老年人(P<0.01)患抑郁的比例更高。相关性分析显示,世界卫生组织老年人生活质量量表的总分与老年抑郁量表呈较差的负相关(r=-0.38;P<0.01)。

结论

≥65 岁的老年人中抑郁的患病率较高。年龄、性别、饮酒、健康感知和生活质量是抑郁的重要预测因素。

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