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Prevalence and risk factors for depression in older people in Xi′an China: a community-based study

✍ Scribed by Li Yunming; Chen Changsheng; Tu Haibo; Cao Wenjun; Fan Shanhong; Ma Yan; Xu Yongyong; Hua Qianzhen

Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
121 KB
Volume
27
Category
Article
ISSN
0885-6230

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✦ Synopsis

Abstract

Objective

To estimate the prevalence of depressive symptoms and to determine the impact of socio‐demographic variables, chronic diseases and health‐related events on depression in a community sample of older adults in Xi′an, Shaanxi Province.

Methods

Cross sectional, multistage community survey. A semi‐structured questionnaire including socio‐demographic characteristics, physical health, chronic diseases and health‐related events was administered to 1587 older adults from eight communities. Depression was assessed using the 30‐item Geriatric Depression Scale (GDS) with a threshold of <11/11+. Analysis was conducted using SPSS16.0 Complex Samples Logistic analysis procedure.

Results

The prevalence of depression was 27.0% (95% CI 24.7–29.2%). In a univariate analysis, the following variables were significantly associated with depression: female gender, low max income, coronary heart disease, suffering 3 or above chronic diseases and functional impairments, 4 adverse life events (financial problems, death of closely related person, unpleasantness experience and horrifying experience) and suffering 1 or above adverse life events. After adjustment for age and gender, odds ratios for depression were significantly higher for coronary heart disease, suffering 3 or above chronic diseases and functional impairments, adverse life event (financial problems, unpleasantness experience) and suffering 3 or above adverse life events.

Conclusions

According to GDS estimates, 27.0% Chinese urban older adult had depression symptoms. In designing prevention programs, detection and management of older patients with depression should be a high priority in developing countries. Copyright © 2011 John Wiley & Sons, Ltd.

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## Abstract ## Objective Previously published studies of prevalence of depression in older people in China showed much variation in the results, while the pooled prevalence is low. In this study we used a standardised method, the Geriatric Mental State (GMS) to investigate the prevalence of depres