Depression and its correlates in older adults in Ukraine.
Depression and its correlates in older adults in Ukraine.
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DOI：
10.1002/gps.2681
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发表时间：
2011-12
影响因子：
4
通讯作者：
Bromet EJ
中科院分区：
文献类型：
--
作者：
Tintle N;Bacon B;Kostyuchenko S;Gutkovich Z;Bromet EJ
关于东欧晚年抑郁症的流行病学，人们知之甚少。这项研究调查了乌克兰50岁及以上成年人中DSM-IV重度抑郁发作(MDE)的12个月患病率及其相关性。相关因素包括人口统计因素、精神健康和饮酒史、身体状况和功能障碍。作为世界卫生组织-世界精神卫生调查倡议的一部分，利用国际综合诊断访谈(CIDI-3.0)在乌克兰进行了一项横断面调查。样本包括1,843名年龄在50岁至91岁之间的受访者。未调整和调整后的优势比分别用于检查男性和女性的危险因素与12个月MDE的相关性。12个月女性MDE患病率为14.4%，男性为7.1%。在男女中，50岁以前有MDE病史和自评身心健康状况差与MDE显著相关。此外，在男性中，独居、去看医生5次以上以及角色受损，但与酗酒无关，与抑郁症相关；在女性中，贫困、焦虑症病史、医疗条件以及认知和自我照顾障碍显著。乌克兰老年MDE的12个月患病率大大高于西欧和其他发达国家。然而，风险因素与乌克兰以外的地区相似。抑郁症是一种反复发作的疾病，抑郁史是最强的危险因素。总体而言，结果表明，乌克兰老年人是MDE的高危群体，因此将受益于初级保健医生的有针对性的干预。
Little is known about the epidemiology of late life depression in Eastern Europe. This study examined the 12-month prevalence and correlates of DSM-IV major depressive episode (MDE) in adults age 50 years and over in Ukraine. The correlates included demographic factors, mental health and alcohol history, physical conditions, and impairments in functioning. A cross-sectional survey was conducted in Ukraine using the Composite International Diagnostic Interview (CIDI-3.0) as part of the World Health Organization-World Mental Health Survey Initiative. The sample included 1,843 respondents age 50–91. Unadjusted and adjusted odds ratios were used to examine associations of the risk factors with 12-month MDE in men and women separately. The 12-month prevalence of MDE was 14.4% in women and 7.1% in men. In both sexes, history of MDE before age 50 and poor self-assessed mental/physical health were significantly associated with MDE. Additionally, in men, living alone, 5+ physician visits, and role impairment, but not alcoholism, were associated with depression; in women, poverty, history of anxiety disorder, medical conditions, and cognitive and self-care impairment were significant. The 12-month prevalence of late life MDE was substantially higher in Ukraine than in Western Europe and other developed countries. The risk factors, however, were similar to those found outside Ukraine. Depression is a recurrent condition, and history of depression was the strongest risk factor. Overall, the results show that older people in Ukraine constitute a high risk group for MDE and would therefore benefit from targeted interventions by primary care physicians.