安徽省农村社区老年抑郁症发病率调查

马岁岁; 秦侠; 陈若陵; 胡志

doi:10.11847/zgggws2006-22-04-01

安徽省农村社区老年抑郁症发病率调查

Investigation on incidence of geriatric depression in rural community of Anhui province

摘要

摘要:
目的了解我国农村社区老年抑郁症的发病率及其危险因素, 为进一步探讨积极有效的预防和控制老年抑郁症的干预措施提供依据。
方法以2003年安徽省家村社区调查时的非抑郁老年人为对象, 于2004年进行随访研究。采用老年精神状况量表和老年抑郁症危险因素量表作为调查工具, 采用SPSS 10.0软件进行分析。
结果随访到的1 236名老年人中共有89名病例, 首次发病率为7.2%。χ²检验表明, 不同性别发病率差异有统计学意义(P < 0.05), 不同年龄、婚姻、职业和文化之间发病率差异无统计学意义(P > 0.05)。多元Logistic回归分析表明, 性别是老年抑郁症发病率的危险因素(P < 0.05, RR为1.68, 95%CI=1.07~2.64)。
结论农村社区老年抑郁症发病率水平高于预期, 老年女性是农村社区老年抑郁症的高危人群, 应作为重点干预对象。

Abstract:
Objective To understand the incidence of geriatric depression and explore the risk factors of geriatric depressions in rural community of Anhui countries.
Methods 1236 non-depressed elderly of the study on rhe prevalence of depression among the elderly was followed up with one-yearinterval by using the Geriatric Mental State Schedule(GMSA GECAT)and Minimum Data Set(MDS).The data were analysis and by SPSS.
Results The incidence of depression among the elderly was 7.2%.χ² analysis and Multinomial Logistic Regression analysis showed that there was sig nificantly difference between the male and female(P < 0.05), but the incidence of geriatric depression between different age, marital status, job and education degrees didn't have significant difference.Gender was risk factor of geriatric depression in the rural community(P < 0.05, (RR: 1.68, 95% CI 1.07~2.64).
Conclusion The incidence of geriatric depression is higher than what is expected.Female elderly is the high-risk population of geratric epression in the rural community and when interventions are maken, they should be focusd on.

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