Depression morbidity in later life: Prevalence and correlates in a developing country
Depression morbidity in later life: Prevalence and correlates in a developing country
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DOI：
10.1097/jgp.0b013e3180654179
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发表时间：
2007-09-01
影响因子：
7.2
通讯作者：
Gastal, Fabio Leite
中科院分区：
文献类型：
--
作者：
Blay, Sergio Luis;Andreoli, Sergio Baxter;Gastal, Fabio Leite
目标：调查巴西60岁及以上社区居民抑郁症发病率的一个月患病率及其与社会人口学特征、健康和功能状态以及卫生服务使用的相关性。方法：本研究采用横断面设计的面对面访谈（N = 7,040）在南里奥格兰德州，巴西。参与者是60岁及以上的家庭居民。测量包括简短的精神病评估表（六项版本）和问卷，评估社会人口学特征，自我报告的健康状况，全身性疾病，日常生活活动（ADL），医疗服务的使用和社会支持。结果：抑郁症的总患病率为22%（男性：18%，女性：25.2%）。在对照分析中，年龄较小，低收入，农村出身，从未或不再结婚，自我评价健康状况差，存在全身性疾病，视力，听力或ADL障碍，过去12个月内住院，缺乏锻炼或就业与抑郁症发病率显著相关，而独居几乎与此相关。性别、教育程度、少数民族或过去六个月的门诊就诊与抑郁症发病率无关。结论：抑郁症发病率的总体患病率是以前报道的老年人中最高的。在对照分析中，患病率随着年龄的增长而下降，收入较低和社会、健康和功能状况较差的人群患病率较高，但性别、教育或种族/民族差异不显著。应更加重视确定抑郁症发病率在那些不利的情况下，并确定改善干预措施。
Objective: To investigate the one-month prevalence of depression morbidity and its association with sociodemographic characteristics, health and functional status, and use of health services in community residents aged 60 years and over in Brazil. Methods: This study used a cross-sectional design of face-to-face interviews ( N = 7,040) in Rio Grande do Sul State, Brazil. Participants were household residents aged 60 years and older. Measurements included the Short Psychiatric Evaluation Schedule ( six-item version) and questionnaire that assessed sociodemographic characteristics, self-reported health status, systemic illnesses, activities of daily living ( ADL), use of medical services, and social support. Results: The overall prevalence of depression morbidity was 22% ( men: 18%, women: 25.2%). In controlled analyses, younger age, low income, rural origin, never or no longer married, poor self-rated health, presence of systemic illnesses, visual, hearing, or ADL impairments, hospitalization in the past 12 months, and lack of exercise or employment were significantly associated with depression morbidity, whereas living alone was nearly so associated. Gender, education, minority race, or outpatient visits in the previous six months were not associated with depression morbidity. Conclusion: The overall prevalence of depression morbidity was among the highest previously reported for older persons. In controlled analyses, prevalence declined as age increased, and rates were higher for those with lower income and poorer social, health, and functional status, but did not differ significantly by gender, education, or race/ethnicity. Increased attention should be paid to identifying depression morbidity in those with adverse circumstances and to identifying ameliorating interventions.