Population projection of US adults with lifetime experience of depressive disorder by age and sex from year 2005 to 2050.

Population projection of US adults with lifetime experience of depressive disorder by age and sex from year 2005 to 2050.
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DOI:
10.1002/gps.2061
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发表时间:
2008-12
影响因子:
4
通讯作者:
Alexopoulos, George S.
Alexopoulos, George S.
中科院分区:
医学2区
文献类型:
--
作者:
Heo, Moonseong;Murphy, Christopher F.;Fontaine, Kevin R.;Bruce, Martha L.;Alexopoulos, George S.

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估算 2005 年至 2050 年期间,美国 18 岁或以上成年人中终生患有经医生诊断为抑郁症的人口数量。根据 2006 年行为风险因素监测调查 (BRFSS) 的全国代表性调查数据,对医生诊断的抑郁症(轻度或重度以及心境恶劣)的患病率估计进行了加权,以纳入复杂的抽样设计并提高研究结果的普遍性。然后,根据 2005 年至 2050 年按性别划分的美国人口普查全国人口预测,使用 2006 年按年龄和性别划分的加权患病率数据来估计终生患有抑郁症的成年人口。 2006 年,在 188,292 名 18 岁或以上的受访者中,终生经历抑郁症的(加权)患病率为 15.7%。女性患病率为 20.6%,大约是男性患病率 (11%) 的两倍。从2005年到2050年,美国患有抑郁症的成年人总数将从3390万增加到4580万,增加35%。预计 65 岁以上老年人口的增幅(3.8-8.2,增长 117%)高于 65 岁以下的年轻人口(30.1-37.7,增长 25%)。到 2050 年,大约 4600 万 18 岁或以上的美国成年人将被诊断患有抑郁症。这种增长在 65 岁或以上的成年人中更为明显。抑郁症的预防、检测和治疗可能会削弱这一估计的幅度。
To estimate the projected population of US adults aged 18 years or older with lifetime experience of doctor-diagnosed depressive disorder from 2005–2050. Based on nationally representative survey data from the year 2006 Behavioral Risk Factor Surveillance Survey (BRFSS), prevalence estimates of doctor-diagnosed depression (minor or major, and dysthymia) were weighted to incorporate the complex sampling design and increase generalizability of the findings. The weighted prevalence data by age and sex in 2006 were then used to estimate the projected adult population with lifetime experience of depressive disorder based on the sex-specific US Census national population projections from year 2005–2050. In year 2006 the (weighted) prevalence of lifetime experience of depressive disorder was 15.7% among 188,292 respondents aged 18 years or older. Female prevalence was 20.6%, which was about twice as high as the prevalence among males (11%). From year 2005–2050, the total number of US adults with depressive disorder will increase from 33.9 million to 45.8 million, a 35% increase. The increase is projected to be greater in the elderly population aged ≥65 years (3.8–8.2, a 117% increase) than in the young population aged <65 years (30.1–37.7, a 25% increase). By year 2050, approximately 46 million US adults aged 18 years or older will be diagnosed with a depressive disorder. The increase will be more pronounced in adults aged 65 or older. Prevention, detection, and treatment of depressive disorders might attenuate the magnitude of this estimate.
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