Factors Related to Prevalence of Depression in Türkiye: A Population-Based Study.

Nadire Gülçin Yildiz, Kemal Aydin, Halide Z Aydin, Yohane V A Phiri, Hatice Yildiz
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Abstract

Objective: This study aims to determine the prevalence of depressive symptoms in the adult population in Türkiye and to examine the relationship of depression with socio-demographic and behavioral variables and chronic diseases.

Method: This sturdy utilized data from the 2019 Turkey Health Survey. The Patient Health Questionnaire Depression Module (PHQ- 8) was employed to assess depressive symptoms in the survey. Based on the analysis using the diagnostic algorithm of the PHQ-8, from a total of 17084 people aged 15+ years old who were, we selected 6.4% individuals with depressive symptoms. Then, we randomly selected 1101 individuals without depressive symptoms, comprising of a total of 2202 individuals as the study sample. We assessed the factors associated with depressive symptoms using multivariate logistic regression analyses.

Results: The risk of developing depressive symptoms increased with age. Women were more likely to report depressive symptoms. Education, physical activity, and marital status were negatively correlated with reporting depressive symptoms. Further, social support was a protective factor to report depressive symptoms. The presence of chronic diseases was positively associated with depressive symptoms.

Conclusion: The results showed that point and annual prevalence of depressive symptoms were high. The findings provide a basis for further studies to explore the factors associated with a higher prevalence of depressive symptoms in Türkiye. Our findings could serve as a reference to monitor depression in the country, as well as help in the planning of health resource and identify high risk segments of the population.

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土耳其抑郁症患病率相关因素:基于人口的研究。
目的:本研究旨在确定土耳其成年人抑郁症状的发生率,并研究抑郁症与社会人口、行为变量和慢性疾病的关系:本研究旨在确定土耳其成年人抑郁症状的患病率,并研究抑郁症与社会人口、行为变量和慢性疾病之间的关系:该研究利用了2019年土耳其健康调查的数据。调查采用了患者健康问卷抑郁模块(PHQ- 8)来评估抑郁症状。根据使用 PHQ-8 诊断算法进行的分析,我们从年龄在 15 岁以上的 17084 人中选出了 6.4% 的抑郁症状患者。然后,我们随机抽取了 1101 名无抑郁症状的人,共计 2202 人作为研究样本。我们通过多变量逻辑回归分析评估了与抑郁症状相关的因素:出现抑郁症状的风险随着年龄的增长而增加。女性更容易出现抑郁症状。教育程度、体育锻炼和婚姻状况与抑郁症状呈负相关。此外,社会支持是报告抑郁症状的保护因素。患有慢性疾病与抑郁症状呈正相关:结果表明,抑郁症状的时点流行率和年度流行率都很高。研究结果为进一步研究探索土耳其抑郁症状高发的相关因素提供了依据。我们的研究结果可作为监测该国抑郁症的参考,并有助于规划卫生资源和识别高风险人群。
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