Urbanicity of residence and depression among adults 50 years and older in Ghana and South Africa: an analysis of the WHO Study on Global AGEing and Adult Health (SAGE).
Urbanicity of residence and depression among adults 50 years and older in Ghana and South Africa: an analysis of the WHO Study on Global AGEing and Adult Health (SAGE).
复制标题
DOI：
10.1080/13607863.2018.1450839
复制
发表时间：
2019-06
影响因子：
3.4
通讯作者：
Underwood CR
中科院分区：
文献类型：
--
作者：
Adjaye-Gbewonyo D;Rebok GW;Gallo JJ;Gross AL;Underwood CR
抑郁症是全球残疾的主要原因，是全球发病率和死亡率的重要因素，而且往往不成比例地影响老年人。一些研究已经证明了城市居住和抑郁症之间的联系，但很少有研究在老年人中研究这种联系，更少的研究在非洲背景下进行研究。鉴于非洲社会正在迅速老龄化和城市化，本研究旨在评估两个非洲国家老年人人口中城市化和抑郁症之间的关系。数据取自世界卫生组织全球老龄化和成人健康研究第一波（2007-2008年）的加纳和南非样本。在过去的12个月里，根据ICD-10标准，在4，209名加纳和3，148名南非50岁及以上的成年人中，使用自我报告的治疗和抑郁症状来测量抑郁症。在加纳和南非，12个月的抑郁症患病率分别为7.5%和4.0%;分别为41.1%和65.6%，居住在城市地区。将城市居民与农村居民进行比较，多变量分析中南非抑郁症的调整优势比（OR）为1.13（95%CI：0.71-1.79），加纳为0.85（95%CI：0.55-1.31）。结果不支持显着的城乡差异，在12个月的抑郁症加纳或南非SAGE参与者。因此，应加强这些国家农村地区的精神卫生资源，以便在有类似需求的两种情况下更公平地分配资源。
As the primary cause of disability worldwide, depression is a significant contributor to global morbidity and mortality and often disproportionately affects older adults. Several studies have demonstrated a link between urban residence and depression, but few studies have examined this association among older adult populations, and even fewer have studied it within an African context. Given that African societies are aging and urbanizing at rapid rates, this study aimed to assess the relationship between urbanicity and depression within older adult populations in two African countries. Data were drawn from the Ghana and South Africa samples of the World Health Organization Study on Global AGEing and Adult Health (SAGE) wave 1 (2007–2008). Depression over the past 12 months was measured using self-reported treatment and depressive symptoms based on ICD-10 criteria in 4,209 Ghanaian and 3,148 South African adults aged 50 years and older residing in their current location for over one year. The 12-month prevalence of depression was 7.5% and 4.0% in Ghana and South Africa, respectively; 41.1% and 65.6%, respectively, lived in urban areas. Comparing urban to rural residents, the adjusted odds ratio (OR) for depression in multivariable analysis was 1.13 (95% CI: 0.71–1.79) in South Africa and 0.85 (95% CI: 0.55–1.31) in Ghana. Results do not support a significant urban-rural difference in 12-month depression among Ghanaian or South African SAGE participants. Mental health resources in rural areas should therefore be enhanced in these countries for more equitable distributions between the two settings given similar need.
登录
查看更多内容
影响因子：
6.6
作者：
Fujise, Noboru;Abe, Yasuhisa;Ikeda, Manabu
通讯作者：
Ikeda, Manabu
影响因子：
7
作者：
Abe, Y.;Fujise, N.;Ikeda, M.
通讯作者：
Ikeda, M.
影响因子：
7.4
作者：
Galea, Sandro
通讯作者：
Galea, Sandro
影响因子：
6.7
作者：
Bhugra, D
通讯作者：
Bhugra, D
影响因子：
3.4
作者：
Bergdahl, E.;Allard, P.;Gustafson, Y.
通讯作者：
Gustafson, Y.