Comparisons of the prevalence of and risk factors for elderly depression between urban and rural populations in Japan
Comparisons of the prevalence of and risk factors for elderly depression between urban and rural populations in Japan
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DOI：
10.1017/s1041610212000099
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发表时间：
2012-08-01
影响因子：
7
通讯作者：
Ikeda, M.
中科院分区：
文献类型：
--
作者：
Abe, Y.;Fujise, N.;Ikeda, M.
背景资料：本研究的目的是探讨日本城市和农村地区老年抑郁症的患病率和危险因素的差异，并进一步了解老年抑郁症的特点。方法：采用多阶段随机抽样方法和邮寄方法，在熊本县的城市和农村地区。共有2，152名年龄在65岁及以上的参与者使用老年抑郁量表（GDS）进行了抑郁症评估。与抑郁症相关的因素也进行了研究。结果：抑郁症状与独居、失业、慢性病、睡眠障碍、自杀意念、经济压力、社会支持差有关;两地区老年抑郁的危险因素基本相同。虽然三个因素（经济紧张，工作状况，PGC-MS）显着相关的抑郁症在两个地区的Logistic回归分析，睡眠障碍是显着的，只有城市地区，社会支持差是显着的，只有农村地区。结论：虽然抑郁症的相关因素没有显着差异，城市和农村老年人，一些危险因素在两个地区之间的差异。有效的老年抑郁症干预方案应重视地区差异。
Background: The aim of the present study was to investigate the differences in the prevalence of and risk factors for elderly depression between urban and rural areas in Japan and to further understanding of the features of elderly depression.Methods: A multistage, random sampling procedure and mailing method were used in urban and rural areas in Kumamoto Prefecture. A total of 2,152 participants aged 65 years and older were evaluated for depression using the Geriatric Depression Scale (GDS). Factors associated with depression were also examined. In order to assess the relationship between risk factors and subjective happiness, the Philadelphia Geriatric Center Morale Scale (PGC-MS) was used.Results: Depressive symptoms were associated with living alone, being unemployed, chronic illness, sleep disturbance, suicidal ideation, financial strain, and poor social support; the risk factors for elderly depression were almost the same in the two areas. Although three factors (financial strain, work status, and PGC-MS) were significantly associated with depression in both areas on logistic regression analysis, sleep disturbance was significant only for the urban area, and poor social support was significant only for the rural area.Conclusions: Although factors related to depression did not differ markedly between urban and rural elderly people, some risk factors differed between the two areas. Effective intervention programs for elderly depression should pay more attention to regional differences.