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叶敏捷, 钟善钊, 林春燕, 叶素贞, 陈策. 温州老年人抑郁障碍影响因素及求医方式分析[J]. 中国公共卫生, 2013, 29(1): 8-11. DOI: 10.11847/zgggws2013-29-01-03
引用本文: 叶敏捷, 钟善钊, 林春燕, 叶素贞, 陈策. 温州老年人抑郁障碍影响因素及求医方式分析[J]. 中国公共卫生, 2013, 29(1): 8-11. DOI: 10.11847/zgggws2013-29-01-03
YE Min-jie, ZHONG Shan-zhao, LIN Chun-yan.et al, . Prevalence,influencing factors and help-seeking style of depression among elderly population in Wenzhou area[J]. Chinese Journal of Public Health, 2013, 29(1): 8-11. DOI: 10.11847/zgggws2013-29-01-03
Citation: YE Min-jie, ZHONG Shan-zhao, LIN Chun-yan.et al, . Prevalence,influencing factors and help-seeking style of depression among elderly population in Wenzhou area[J]. Chinese Journal of Public Health, 2013, 29(1): 8-11. DOI: 10.11847/zgggws2013-29-01-03

温州老年人抑郁障碍影响因素及求医方式分析

Prevalence,influencing factors and help-seeking style of depression among elderly population in Wenzhou area

  • 摘要: 目的了解浙江省温州市老年人抑郁障碍的患病率、相关影响因素及求医方式,为采取干预措施提供参考依据。方法采用中文版老年抑郁量表(GDS)对从温州市分层随机抽取的1 937名≥60 周岁城乡老年居民进行抑郁障碍筛查,对筛查阳性的514例和随机抽取的447名筛查阴性的老年人进行DSM-IV-TR轴I障碍临床定式检查(SCID-I)评定,并对其中确诊的抑郁障碍患者进行求医方式调查。结果514例筛查阳性老年人中检出81例抑郁障碍患者,447名筛查阴性老年人中检出7例抑郁障碍患者,调整患病率为5.50%;多因素logistic回归分析结果表明,年龄≥80岁、有慢性躯体疾病和慢性躯体疼痛是温州市老年人抑郁障碍患病的危险因素,在婚和生命质量总分>21分是温州市老年人抑郁障碍患病的保护因素;居于老年抑郁障碍患者求医方式前3位的依次为综合医院普通内科门诊(38.64%)、综合医院住院(26.14%)、社区的药房(18.18%),到精神专科医疗单位的总求医率仅为2.27%。结论温州市老年人抑郁障碍的患病率较高,且正确求医率极低;年龄、婚姻状况、慢性疾病、慢性躯体疼痛和生命质量是温州市老年人抑郁障碍患病的影响因素。

     

    Abstract: Objective To investigate the prevalence,influencing factors and help-seeking style of depression among elderly population in Wenzhou area.Methods Totally 1 937 community-dwellers(≥60 years old) were screened with Geriatric Depression Scale(GDS),of which,514 positive subjects(GDS score ≥11) and 447 negative subjects(GDS score <11) completed Structured Clinical Interview for Diagnostic and Statistical of Mental Disorder IV(DSM-IV-TR) axis I disorders interviews.The subjects diagnosed with depressive disorders were investigated with Help-Seeking Style Questionnaire.Results Totally 81 depression patients among GDS positive subjects and 7 among 447 negative subjects were diagnosed,with an adjusted one-month prevalence(95%confidence interval) of depressive disorders of 5.50%(4.52%,6.60%) among the elderly.The risk factors for geriatric depression(GD) were 80 years old and older,with chronic somatic disease,and with chronic pain.The protective factors were being married and having high quality of life.The psychiatric service help-seeking rate among the depression patients was 2.27%.The most frequently visited medical institutions by the patients was internal medicine department of general hospital(38.64%),followed by inpatient department of general hospital(26.14%),and pharmacy house of community(18.18%).Conclusion The prevalence rate of geriatric depression among elderly population in Wenzhou area is high,and the depression patients have a very low psychiatric service help-seeking rate.The influencing factors of geriatric depression included age,marriage status,chronic disease,chronic pain,and quality of life.

     

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