Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study.
Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study.
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DOI：
10.1192/bjp.bp.110.083915
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发表时间：
2011-12
期刊：
影响因子：
--
通讯作者：
Prince M
中科院分区：
文献类型：
--
作者：
Prina AM;Ferri CP;Guerra M;Brayne C;Prince M
背景焦虑是生活在西方世界的老年人中常见的精神障碍，但对其在低收入和中等收入国家的患病率知之甚少。我们调查了具有不同文化的低收入和中等收入国家老年人的焦虑患病率及其相关性。方法横断面调查的所有居民年龄在65岁或以上（n = 15 021）在11个集水点在7个国家（中国，印度，古巴，多米尼加共和国，委内瑞拉，墨西哥和秘鲁）进行了10/66合作的一部分。通过使用老年精神状态检查（GMS）和计算机辅助分类学自动老年检查（AGECAT）诊断算法测量焦虑。结果不同地点的年龄和性别标准化焦虑患病率差异很大，从中国农村的0.1%（95%CI 0.0-0.3）到秘鲁城市的9.6%（95%CI 6.2-13.1）不等。城市中心的焦虑估计值高于农村，调整后（年龄、性别和地点）优势比为2.9（95%CI 1.7-5.3）。年龄、性别、社会经济地位和共病的身体疾病都与GMS/AGECAT诊断的焦虑有关，残疾也是如此（世界卫生组织残疾评估表II）。结论焦虑在拉丁美洲很常见。该地区的估计数与文献中高收入欧洲国家的估计数相似。由于这些国家的人口结构变化将更加迅速，因此必须进一步研究发展中地区老年人的心理健康，包括其他特定的焦虑症，沿着支持这些疾病患者的策略。
Background Anxiety is a common mental disorder among older people who live in the Western world, yet little is known about its prevalence in low- and middle-income countries. Aims We investigated the prevalence of anxiety and its correlates among older adults in low- and middle-income countries with diverse cultures. Method Cross-sectional surveys of all residents aged 65 or over (n = 15 021) in 11 catchment sites in 7 countries (China, India, Cuba, Dominican Republic, Venezuela, Mexico and Peru) were carried out as part of the 10/66 collaboration. Anxiety was measured by using the Geriatric Mental State Examination (GMS) and the Automated Geriatric Examination for Computer Assisted Taxonomy (AGECAT) diagnostic algorithm. Results The age- and gender-standardised prevalence of anxiety varied greatly across sites, ranging from 0.1% (95% CI 0.0–0.3) in rural China to 9.6% (95% CI 6.2–13.1) in urban Peru. Urban centres had higher estimates of anxiety than their rural counterparts with adjusted (age, gender and site) odds ratios of 2.9 (95% CI 1.7–5.3). Age, gender, socioeconomic status and comorbid physical illnesses were all associated with a GMS/AGECAT diagnosis of anxiety, and so was disability (World Health Organization Disability Assessment Schedule II). Conclusions Anxiety is common in Latin America. Estimates from this region are similar to the ones from high-income European countries found in the literature. As demographic change will occur more rapidly in these countries, further research exploring the mental health of older people in developing areas is vital, with the inclusion of other specific anxiety disorders, along with evidence for strategies for supporting those with these disorders.
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