School of Ethnology and Sociology, Department of Social Work, Yunnan University, China.
Department of Social Work, The Chinese University of Hong Kong, China.
Int J Nurs Stud. 2022 Jan;125:104114. doi: 10.1016/j.ijnurstu.2021.104114. Epub 2021 Oct 20.
Despite the large number of older adults living in care homes in China, the reported prevalence of depression in such settings has varied greatly, while its pooled overall prevalence has remained unknown. In response, our systematic review and meta-analysis were designed to provide accurate, comprehensive evidence of the prevalence of geriatric depression in care homes in China.
Literature searches were conducted independently by two investigators in English- and Chinese-language databases from database inception through January 2020. The prevalence of depressive symptoms in late life was analyzed with a random effects model.
In 69 studies addressing older adults living in care homes in China, the pooled overall prevalence of depressive symptoms was 36.8% (95% CI, 32.7%-41.1%). Respective estimates for mild and moderate-to-severe depressive symptoms were 29.1% (95% CI, 25.2%-32.7%) and 9.1% (95% CI, 7.5%-11.0%). Subgroup analyses revealed significant differences in the prevalence of late-life depression in care homes according to the type of care home, the individual's socioeconomic status, and the measurement instrument(s) used. Meta-regression analysis indicated that the prevalence of late-life depression among older adults living in care homes generally rose from 1991 to 2019.
Given the high prevalence of geriatric depression in China's care homes, future studies should examine its risk and protective factors in those settings.
尽管中国有大量老年人居住在养老院中，但这些机构中报告的抑郁症患病率差异很大，其总体患病率仍不清楚。有鉴于此，我们的系统评价和荟萃分析旨在为中国养老院中老年人抑郁的患病率提供准确、全面的证据。
两位研究者分别在英文和中文数据库中独立进行文献检索，检索范围从数据库建立到 2020 年 1 月。采用随机效应模型分析老年期抑郁症状的患病率。
在 69 项针对居住在中国养老院的老年人的研究中，抑郁症状的总体患病率为 36.8%（95%CI，32.7%-41.1%）。轻度和中重度抑郁症状的估计患病率分别为 29.1%（95%CI，25.2%-32.7%）和 9.1%（95%CI，7.5%-11.0%）。亚组分析显示，养老院中老年期抑郁症的患病率因养老院类型、个体的社会经济地位和使用的测量工具而存在显著差异。元回归分析表明，养老院中老年人的老年期抑郁症患病率总体上从 1991 年上升到 2019 年。
鉴于中国养老院中老年人抑郁的高患病率，未来的研究应在这些环境中研究其风险和保护因素。
