Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec
Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec
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DOI：
10.1002/gps.2250
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发表时间：
2009-11-01
影响因子：
4
通讯作者：
Dube, Micheline
中科院分区：
文献类型：
--
作者：
Mechakra-Tahiri, Samia;Zuzunegui, Maria Victoria;Dube, Micheline
目的 比较居住在农村地区、城市地区和蒙特利尔大都会的魁北克老年人口中抑郁症的患病率，并评估这些城市和农村地区社会关系与抑郁症之间关联的差异。 方法 数据来源于 ESA (Etude de Sante des Aines) 第一波关于社区居住 65 岁以上老年人 (n = 2670) 心理健康的纵向研究。抑郁症，包括重度抑郁症和轻度抑郁症，使用计算机问卷进行测量； ESA-Q由研究团队根据DSM-IV标准开发。对抑郁症与地理区域、非正式社交网络和社区参与之间的关联进行评估，并根据人口、社会经济和健康特征进行调整。结果农村地区（17%）和城市地区（15.1%）的抑郁症患病率高于蒙特利尔大都市（10.3%）。经过所有社会和健康协变量调整后，农村地区（OR = 2.0195% CI 1.59-2.68）和城市地区（OR = 1.75；95% CI 1.25-2.45）与大都市地区相比，优势比略有增加。我们的研究表明，社会支持和亲密关系中缺乏冲突与所有地区的抑郁症患病率较低有关。 结论 魁北克老年人口中抑郁症存在地理差异，可能对其健康和功能能力产生重大影响。应该进行进一步的研究来解释这些差异。版权所有 (C) 2009 John Wiley & Sons, Ltd.
Objective To compare the prevalence of depression within the elderly Quebec population residing in rural areas, urban areas and metropolitan Montreal, and to assess differences in the associations between social relationships and depression across these urban and rural settings.Methods Data originate from the first wave of the ESA (Etude de Sante des Aines) longitudinal study on mental health of community dwelling older persons aged over 65 (n = 2670). Depression, including major and minor depression, measured using a computer questionnaire; the ESA-Q developed by the research team and based on the DSM-IV criteria. Assessments of associations between depression and geographic area, informal social networks and community participation were estimated adjusting for demographic, socioeconomic and health characteristics.Results The prevalence of depression was higher in rural (17%) and urban areas (15.1%) than in metropolitan Montreal (10.3%). The odds ratio of rural (OR = 2.0195% CI 1.59-2.68) and urban (OR = 1.75; 95% CI 1.25-2.45) areas compared to the metropolitan area increased slightly after adjustment by all social and health covariates. Our study indicated that social support and the lack of conflict in intimate relationships were associated with lower prevalence of depression in all areas.Conclusion Geographic differences in depression exist within the elderly population in Quebec that may generate significant impact on their health and functional abilities. Further research should be conducted to explain these differences. Copyright (C) 2009 John Wiley & Sons, Ltd.