Prevalence and correlates of late-life depression compared between urban and rural populations in Korea
Prevalence and correlates of late-life depression compared between urban and rural populations in Korea
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DOI：
10.1002/gps.622
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发表时间：
2002-05-01
影响因子：
4
通讯作者：
Stewart, R
中科院分区：
文献类型：
--
作者：
Kim, JM;Shin, IS;Stewart, R
在发展中国家，对老年抑郁症的病因学研究相对较少。城市和农村人口很少被抽样在同一study.Objectives调查人口因素与抑郁症和抑郁症状在城市和农村样本的老年人Korean people.Methods一个社区调查的居民年龄在65岁或以上进行了城市和农村地区内光州，韩国。使用韩国老年抑郁量表（KGDS）。与人口统计学，社会经济因素和认知功能（MMSE）的协会进行了调查抑郁症分类根据先前验证cut-off.Results样本包括485城市居住和649农村居住的参与者。城市和农村样本的抑郁症患病率没有差异。然而，与自变量的关联在不同地区之间存在差异。在城市样本中，年龄的增加，低教育，体力劳动和目前租用的住房独立与抑郁症。在农村样本中，只有低教育程度与抑郁症有关。年龄与样本面积的相互作用最强（p < 0.01），并且持续存在。结论不良的社会经济地位与抑郁症密切相关，并在整个生命过程中发挥作用。虽然没有证据表明抑郁症的患病率存在城乡差异，但与抑郁症相关的因素在这些人群之间存在差异。版权所有（C）2002约翰威利父子有限公司
Background The aetiology of late-life depression has received relatively little research in developing countries. Urban and rural populations have rarely been sampled in the same study.Objectives To investigate demographic factors associated with depression and depressive symptoms in an urban and rural sample of older Korean people.Methods A community survey of residents aged 65 or over was conducted in an urban and a rural area within Kwangju, South Korea. The Korean Form of the Geriatric Depression Scale (KGDS) was administered. Associations with demographic, socio-economic factors and cognitive function (MMSE) were investigated for depression categorised according to a previously validated cut-off.Results The sample comprised 485 urban-dwelling and 649 rural-dwelling participants. No difference was found between urban and rural samples for prevalence rates of depression. However associations with independent variables varied between the areas. In the urban sample, increased age, low education, manual occupation and current rented accommodation were independently associated with depression. Only low education was associated with depression in the rural sample. The interaction with sample area was strongest for age (p < 0.01) and persisted after. further adjustment for cognitive function.Conclusions Adverse socio-economic status was strongly associated with depression and appeared to operate across the life-course. While no evidence was found for urban-rural differences in prevalence rates of depression, factors associated with depression differed between these populations. Copyright (C) 2002 John Wiley Sons, Ltd.