Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups
Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups
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DOI：
10.1017/s0033291717002781
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发表时间：
2018-06-01
影响因子：
6.9
通讯作者：
Goodwin, R. D.
中科院分区：
文献类型：
--
作者：
Weinberger, A. H.;Gbedemah, M.;Goodwin, R. D.
背景。重度抑郁症与严重的残疾、发病率和死亡率相关。目前的研究估计了2005年至2015年美国人口中重度抑郁症的流行趋势，并按人口亚组进行了统计。数据来自全国药物使用和健康调查（NSDUH），这是一项针对12岁及以上美国人的年度横断面研究（总分析样本N = 607 520）。从2005年到2015年，每年都会对受访者的过去一年抑郁症患病率进行检查。采用logistic回归检验按调查年份分层的抑郁症患病率的时间趋势。数据按年龄、性别、种族/民族、收入和教育程度进行重新分层分析。在控制人口统计因素之前和之后，2005年至2015年美国抑郁症患病率显著上升。抑郁症的增加在最年轻和最年长的年龄组、男性和女性、非西班牙裔白人、最低收入群体和最高教育和收入群体中都是显著的。年龄与x年人口统计学有显著的相互作用。与所有年龄较大的年龄组相比，青少年患抑郁症的增加速度明显更快。2005年至2015年，美国抑郁症患病率显著上升。与老年人相比，年轻人患抑郁症的速度明显更快。进一步研究了解导致抑郁症增加的宏观、微观和个人因素，包括人口亚群体特有的因素，将有助于指导公共卫生预防和干预工作。
Background. Major depression is associated with significant disability, morbidity, and mortality. The current study estimated trends in the prevalence of major depression in the US population from 2005 to 2015 overall and by demographic subgroups.Methods. Data were drawn from the National Survey on Drug Use and Health (NSDUH), an annual cross-sectional study of US persons ages 12 and over (total analytic sample N = 607 520). Past-year depression prevalence was examined annually among respondents from 2005 to 2015. Time trends in depression prevalence stratified by survey year were tested using logistic regression. Data were re-analyzed stratified by age, gender, race/ethnicity, income, and education.Results. Depression prevalence increased significantly in the USA from 2005 to 2015, before and after controlling for demographics. Increases in depression were significant for the youngest and oldest age groups, men, and women, Non-Hispanic White persons, the lowest income group, and the highest education and income groups. A significant year x demographic interaction was found for age. The rate of increase in depression was significantly more rapid among youth relative to all older age groups.Conclusions. The prevalence of depression increased significantly in the USA from 2005 to 2015. The rate of increase in depression among youth was significantly more rapid relative to older groups. Further research into understanding the macro level, micro level, and individual factors that are contributing to the increase in depression, including factors specific to demographic subgroups, would help to direct public health prevention and intervention efforts.