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Prevalence and socio-demographic correlates of major depressive disorder in older adults in Hebei province, China
Zhang,Yun Shu1; Jin,Yu2; Rao,Wen Wang2; Cui,Li Jun1; Li,Jian Feng1; Li,Lin1; Ungvari,Gabor S.3,4; Hall,Brian J.5,6; Li,Ke Qing1; Xiang,Yu Tao2,7
2020-03-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume265Pages:590-594
AbstractBackground: Major depressive disorder (MDD) is common among older adults. The epidemiology of MDD is greatly influenced by sociocultural and economic factors. This study examined the 1-month and lifetime prevalence of MDD and its socio-demographic correlates in older adults living in Hebei province, an agricultural area of China. Methods: Multistage, stratified, random sampling was administered between April and August 2016. The diagnosis of MDD was established with the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV) Axis I Disorders. Results: A total of 3911 participants were enrolled. The 1-month and lifetime prevalence of MDD in older adults was 2.0% (95%CI: 1.6–2.4%) and 3.4% (95%CI: 2.8–4.0%), respectively. Multivariable logistic regression analyses revealed that female gender [P < 0.001, adjusted odds ratio (aOR) = 2.6, 95%CI: 1.53–4.53], presence of comorbid major medical conditions (P < 0.001, aOR = 4.8, 95%CI: 2.17–10.39) and family history of psychiatric disorders (P = 0.013, aOR = 3.4, 95%CI: 1.30–8.96) were independently and significantly associated with higher odds of MDD. Conclusion: The prevalence of MDD in older adults in Hebei province, China, was lower than most findings in China and other countries. Nevertheless, continued surveillance of elderly depression in China along with the development of primary, secondary and tertiary preventative interventions for the elderly with MDD is indicated.
KeywordChina Correlates Elderly Epidemiology Major depressive disorder
DOI10.1016/j.jad.2019.11.096
URLView the original
Language英语
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Document TypeJournal article
CollectionUniversity of Macau
Affiliation1.Department of Sleep Medicine,Hebei Mental Health Center,Baoding,China
2.Unit of Psychiatry,Institute of Translational Medicine,Faculty of Health Sciences,University of Macau,Macao SAR,China
3.Division of Psychiatry,School of Medicine,University of Western Australia,Perth,Australia
4.University of Notre Dame,Fremantle,Australia
5.Global and Community Mental Health Research Group,Department of Psychology,University of Macau,Macao SAR,China
6.Health,Behavior,and Society,Johns Hopkins Bloomberg School of Public Health,Baltimore, MD,United States
7.Center for Cognition and Brain Sciences,University of Macau,Macao SAR,China
Recommended Citation
GB/T 7714
Zhang,Yun Shu,Jin,Yu,Rao,Wen Wang,et al. Prevalence and socio-demographic correlates of major depressive disorder in older adults in Hebei province, China[J]. Journal of Affective Disorders,2020,265:590-594.
APA Zhang,Yun Shu,Jin,Yu,Rao,Wen Wang,Cui,Li Jun,Li,Jian Feng,Li,Lin,Ungvari,Gabor S.,Hall,Brian J.,Li,Ke Qing,&Xiang,Yu Tao.(2020).Prevalence and socio-demographic correlates of major depressive disorder in older adults in Hebei province, China.Journal of Affective Disorders,265,590-594.
MLA Zhang,Yun Shu,et al."Prevalence and socio-demographic correlates of major depressive disorder in older adults in Hebei province, China".Journal of Affective Disorders 265(2020):590-594.
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