Patel Mamta, Mantri Neha, Joshi Nitin, Jain Yogesh, Goel Akhil Dhanesh, Gupta Manoj, Srinivasan Srikanth, Yadav Vikas, Joshi Vibha, Singh Kuldeep, Bhardwaj Pankaj
School of Public Health, AIIMS, Jodhpur, Rajasthan, India.
Department of Community Medicine and Family Medicine, AIIMS, Jodhpur, Rajasthan, India.
J Family Med Prim Care. 2024 Jul;13(7):2545-2554. doi: 10.4103/jfmpc.jfmpc_1664_23. Epub 2024 Jun 28.
For medical fraternity, health system and policymakers to undertake effective countermeasures, a comprehensive assessment of the prevalence of anxiety among older adults is required; hence, we conducted a systematic review and meta-analysis using data pooled from surveys across the country. The search strategy was developed using medical subject headings (MeSH) terms and free-text keywords. We searched PubMed and Scopus for articles to report the prevalence of anxiety among older adults. The appraisal tool for cross-sectional studies was used for quality assessment. Prevalence from different studies was pooled together using the inverse variance heterogeneity method. Sensitivity analyses were performed to assess the impact of included studies' methodological quality on pooled results and to investigate potential causes of heterogeneity. Twenty-three studies were included in this systematic review. The overall pooled estimate of the prevalence of anxiety in older adults was 18.7% (95% CI: 2.4, 38.8). The studies had a high degree of heterogeneity. Publication bias was assessed using a Doi plot which showed an luis furuya-kanamori (LFK) index of 1.21 indicating minor asymmetry. Like other parts of the world, India has witnessed a rise in the number of elderly due to lower fertility rates, higher life expectancies and a shift in illness patterns from communicable to non-communicable. The number of elderly people suffering from diseases of mental health is expected to rise dramatically. This review consolidates the existing evidence to showcase anxiety as an upcoming public health problem requiring due focus from policymakers and health systems.
为了让医学界、卫生系统和政策制定者采取有效的应对措施，需要对老年人焦虑症的患病率进行全面评估；因此，我们利用全国范围内调查汇总的数据进行了一项系统评价和荟萃分析。检索策略是使用医学主题词（MeSH）术语和自由文本关键词制定的。我们在PubMed和Scopus上搜索了报告老年人焦虑症患病率的文章。横断面研究的评估工具用于质量评估。使用逆方差异质性方法汇总不同研究的患病率。进行敏感性分析以评估纳入研究的方法质量对汇总结果的影响，并调查异质性的潜在原因。本系统评价纳入了23项研究。老年人焦虑症患病率的总体汇总估计为18.7%（95%CI：2.4，38.8）。这些研究具有高度的异质性。使用Doi图评估发表偏倚，结果显示Luis Furuya-Kanamori（LFK）指数为1.21，表明存在轻微不对称。与世界其他地区一样，由于生育率下降、预期寿命延长以及疾病模式从传染病向非传染病转变，印度的老年人口数量有所增加。预计患有精神健康疾病的老年人数量将大幅上升。本综述整合了现有证据，表明焦虑症即将成为一个公共卫生问题，需要政策制定者和卫生系统给予应有的关注。
