城市老年人群中抑郁症的程度、模式及相关因素：基于社区研究的结果

Extent, Pattern and Correlates of Depression in Urban Geriatric Subjects: Findings from Community Based Study.

作者信息

Keshari Priya, Shankar Hari

机构信息

Department of Home Science, Faculty of Sciences, University of Allahabad, Prayagraj, Uttar Pradesh, India.

Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Indian J Community Med. 2021 Jul-Sep;46(3):533-536. doi: 10.4103/ijcm.IJCM_1052_20. Epub 2021 Oct 13.

DOI:10.4103/ijcm.IJCM_1052_20

PMID:34759504

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8575189/

Abstract

BACKGROUND

Depression decreases an individual's quality of life and increases dependence on others. The declining physical potential familiar infrastructure and loss of peer may cause anxiety, stress, depression, etc., in geriatric population.

OBJECTIVES

The objectives of this study were as follows: (A) to assess the extent and pattern of depression in study subjects and (B) to find out the correlates of depression in subjects.

MATERIALS AND METHODS

This cross-sectional study was conducted on 616 geriatric subjects selected by multistage sampling procedure from urban Varanasi, India. A predesigned, pretested proforma was used for collecting socioeconomic information. Depression status was assessed using the Geriatric Depression Scale. For analysis of data, SPSS version 22.0 was used. Chi-square and logistic regression were used for inferential purpose.

RESULTS

The overall prevalence of depression in geriatric subjects was 29.7%; 15.7% of subjects were not satisfied with life and 30% often felt helpless. The adjusted odds ratio (95% confidence interval) for depression was 4.54 (2.99-6.09) in subjects >70 years, 4.00 (2.45-6.54) for widowed, 1.95 (1.13-3.35) for widowers, 4.95 (2.02-12.07) for lower, and 3.17 (1.79-5.64) for upper-lower socioeconomic status.

CONCLUSION

Nearly one-third of urban geriatric subjects had depression which was significantly enhanced by advancing age, loss of partner, and socioeconomic adversities.

摘要

背景

抑郁症会降低个人生活质量并增加对他人的依赖。身体潜能下降、熟悉的基础设施减少以及同龄人离世可能会导致老年人群出现焦虑、压力、抑郁等情绪。

目的

本研究的目的如下：（A）评估研究对象中抑郁症的程度和模式；（B）找出研究对象中抑郁症的相关因素。

材料与方法

本横断面研究选取了印度瓦拉纳西市城市地区通过多阶段抽样程序选取的616名老年受试者。使用预先设计并经过预测试的表格收集社会经济信息。采用老年抑郁量表评估抑郁状态。数据分析使用SPSS 22.0版。卡方检验和逻辑回归用于推断分析。

结果

老年受试者中抑郁症的总体患病率为29.7%；15.7%的受试者对生活不满意，30%的受试者经常感到无助。70岁以上受试者患抑郁症的调整比值比（及95%置信区间）为4.54（2.99 - 6.09），丧偶者为4.00（2.45 - 6.54），鳏夫为1.95（1.13 - 3.35），社会经济地位较低者为4.95（2.02 - 12.07），社会经济地位中低者为3.17（1.79 - 5.64）。