Characteristics of depressive symptoms in elderly urban and rural African Americans
Characteristics of depressive symptoms in elderly urban and rural African Americans
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DOI：
10.1093/gerona/52a.4.m241
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发表时间：
1997-07-01
影响因子：
5.1
通讯作者：
Pilgram, BO
中科院分区：
文献类型：
--
作者：
Okwumabua, JO;Baker, FM;Pilgram, BO
背景。尽管晚年抑郁症的流行病学取得了相当大的进展，但科学文献中关于老年非裔美国人抑郁症状的数据却很少。本调查确定了非裔美国社区居民老年人的抑郁症特征症状。方法。样本由 96 名年龄在 60 岁及以上的非裔美国男性和女性组成，其中来自田纳西州西部城市和农村县的代表性相同。两个县的样本被分为三个年龄组； 60-69岁、70-79岁和80岁及以上。将流行病学研究中心抑郁量表的数据与医疗疾病、药物使用、社交网络、日常生活活动中的身体机能水平和人口特征之间的关联进行了比较。结果。抑郁症状筛查呈阳性的居民显示高血压 (p < .036)、动脉硬化 (p < .035) 和循环系统问题 (p < .008) 的报告增加。患有六种或更多不同慢性病的人 (p < .001) 以及在过去一个月使用四种或更多不同处方药治疗慢性病的人 (p < .015) 的抑郁症状报告有所增加。数据回归分析表明，医疗疾病 (p < .001) 和社交网络 (p < .041) 是居民抑郁症状最重要的预测因素。结论。考虑到年满 60 岁的非洲裔美国人预计将增加，并且由于抑郁症是一个重要的公共卫生问题，因此早期识别抑郁症的显着危险因素对于为少数族裔老年人制定早期干预计划至关重要。
Background. Despite considerable progress in the epidemiology of late life depression, little data have been documented in the scientific literature on depressive symptoms among elderly African Americans. The present investigation identifies characteristic symptoms of depression in African American community-resident elders.Method. Ninety-six African American men and women aged 60 years and older, with equal representation from urban and rural counties in west Tennessee, composed the sample. The sample was stratified in each of the two counties into three age categories; 60-69, 70-79, and 80 and older. Data from the Center for Epidemiological Studies-Depression scale were compared with the association of medical illness, medication use, social network, level of physical function in activities of daily living, and demographic characteristics.Results. Residents screening positive for the presence of depressive symptoms showed an increased report of hypertension (p < .036), arteriosclerosis (p < .035), and circulatory problems (p < .008). There was an increased report of symptoms of depression among those who had six or more different chronic illnesses (p < .001) and among those who reported using four or more different prescription medications in the past month for chronic illnesses (p < .015). Regression analyses of data indicated that medical illness (p < .001) and social network (p < .041) were the most important predictors of depressive symptoms among residents.Conclusions. Considering the projected increase of African Americans reaching age 60, and because depressive illness is an important public heath concern, early identification of salient risk factors for depression is critical in instituting early intervention programs for the ethnic minority elderly population.