Department of Gerontological Nursing and Caring, Human Care Science, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Comprehensive Research Building D-310, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan.
Faculty of Health and Sport Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Comprehensive Research Building D-311, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8577, Japan.
BMC Geriatr. 2021 Apr 23;21(1):272. doi: 10.1186/s12877-021-02225-7.
Depression and suicide rates are relatively high in the colder regions of Russia. Older individuals in these regions are especially susceptible to these issues and are understudied in this regard. This study aims to better understand the current depression prevalence, and the factors related to depression, among the older individuals in these colder regions of Russia by studying a population in Novosibirsk oblast.
A questionnaire survey was administered to 422 older individuals, assessing basic attributes and health status, and employing the following standardized scales: 8-item Short-Form Health Survey, Pittsburgh Sleep Quality Index, and 15-item Geriatric Depression Scale (GDS). Participants were divided in two groups (GDS ≤ 6, GDS > 6) and compared, using Student's t test, χ2 test, and logistic regression analysis.
Young old (YO) adults showed significant correlation of depression with asthma (P = 0.005, OR = 6.40, 95%CI: 1.74-23.5), having a spouse (P = 0.016, OR = 1.99, 95%CI: 1.14-3.48), and daily communication with others (P < 0.001, OR = 0.336, 95%CI: 0.197-0.572). Among old old (OO) adults, significant correlation with depression was found for the variables work status (P = 0.047, OR = 0.115, 95%CI: 0.014-0.974), and weekly walking (P = 0.014, OR = 0.288, 95%CI: 0.106-0.778).
Twenty eight percent of the participants have depression. In YO adults, frequent communication and social ties with individuals outside of the family can mitigate depression prevalence. As for OO adults, the factors that have the highest impact on mitigating depression are related to daily activity, including both frequent walking and working or self-employment. Asthma patients are one of the more sensitive groups towards depression, but further research on this topic is needed.
在俄罗斯较寒冷地区，抑郁和自杀率相对较高。这些地区的老年人群尤其容易受到这些问题的影响，但针对这一人群的研究却很少。本研究旨在通过对新西伯利亚地区的人群进行研究，更好地了解这些寒冷地区的老年人群目前的抑郁患病率，以及与抑郁相关的因素。
对 422 名老年人进行问卷调查，评估基本属性和健康状况，并采用以下标准化量表：8 项简短健康调查、匹兹堡睡眠质量指数和 15 项老年抑郁量表（GDS）。将参与者分为两组（GDS≤6，GDS>6），并进行比较，采用学生 t 检验、卡方检验和逻辑回归分析。
年轻老年人（YO）中，抑郁与哮喘（P=0.005，OR=6.40，95%CI：1.74-23.5）、有配偶（P=0.016，OR=1.99，95%CI：1.14-3.48）和与他人日常交流（P<0.001，OR=0.336，95%CI：0.197-0.572）呈显著相关。在老年老年人（OO）中，抑郁与工作状态（P=0.047，OR=0.115，95%CI：0.014-0.974）和每周步行（P=0.014，OR=0.288，95%CI：0.106-0.778）显著相关。
28%的参与者患有抑郁症。在 YO 成年人中，与家庭以外的人频繁交流和社交关系可以减轻抑郁的发生率。对于 OO 成年人来说，对减轻抑郁影响最大的因素与日常活动有关，包括经常散步和工作或自营职业。哮喘患者是对抑郁较为敏感的人群之一，但需要进一步研究这一主题。
