Depressive Symptoms and Health Service Utilisation Among Persons 50 Years or Older in Germany A Population-Based Cross-Sectional Study
Depressive Symptoms and Health Service Utilisation Among Persons 50 Years or Older in Germany A Population-Based Cross-Sectional Study
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DOI：
10.1055/s-0032-1333026
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发表时间：
2013-05-01
影响因子：
2.2
通讯作者：
Luppa, Melanie
中科院分区：
文献类型：
--
作者：
Busch, Markus A.;Neuner, Bruno;Luppa, Melanie
目的：研究德国50岁以上人群抑郁症状与医疗服务利用的关系。方法：数据来自德国《欧洲健康、老龄化和退休调查(SHARE)》的德国分样本，包括2890名50岁及以上德国居民的全国代表性样本(平均年龄65岁，55%为女性)。抑郁症状之间的横截面关联(EURO-D量表和GT；结果：在调整了社会人口学和心理社会因素、认知功能和身体健康指标后，21%的被调查者出现抑郁症状，并与对医疗服务和社会护理服务的利用率较高(优势比[OR]2.3，95%可信区间[CI]1.2~4.3)和社会护理服务利用率(OR 2.6，95%CI 1.5~4.7)有关。结论：抑郁症状的参与者具有较高的服务利用率，而不受躯体并发症和其他潜在混杂因素的影响。
Objective: To examine the association between depressive symptoms and the use of health services among people aged 50 years or older in Germany.Methods: Data came from the German subsample of the "Survey of Health, Ageing and Retirement in Europe (SHARE)", comprising a nationally representative sample of 2890 German residents aged 50 years or older (mean age 65 years, 55% women). The cross-sectional association between depressive symptoms (EURO-D scale >= 4 points) and health service use was examined by multivariable regression analysis.Results: Depressive symptoms were found in 21% of respondents and were associated with a higher utilisation of health care services (odds ratio [OR] 2.3, 95% confidence interval [Cl] 1.2-4.3) and social care services (OR 2.6, 95% Cl 1.5-4.7) even after adjusting for sociodemographic and psychosocial factors, cognitive function and indicators of physical health.Conclusion: Participants with depressive symptoms had a higher service utilisation independent of somatic comorbidity and other potential confounders.