菲律宾老年人抑郁症状的患病率和相关因素。

IF 1 4区 医学 Q4 NEUROSCIENCES Actas espanolas de psiquiatria Pub Date : 2024-10-01 DOI:10.62641/aep.v52i5.1686
Supa Pengpid, Karl Peltzer
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引用次数: 0

摘要

背景:抑郁症状可能会随着年龄的增长而增加,这可能会受到社会人口特征、压力和支持、健康状况和健康行为的影响。菲律宾老年人的情况是否如此尚不清楚。因此,本研究旨在估算菲律宾老年人抑郁症状的患病率和相关因素:分析了参加 2018 年菲律宾老龄化与健康纵向研究(LSAHP)的老年人(≥60 岁)的 5209 项具有全国代表性的横断面数据。抑郁症状采用流行病学研究中心抑郁(CES-D)量表的11个项目3个反应类别进行评估:抑郁症状的总体流行率为 32.1%,其中老年男性为 25.6%,老年女性为 36.5%。在最终调整模型中,总体而言,丧偶(调整比值比(AOR):1.52,95% 置信区间(CI):1.00 至 2.30)、饥饿(AOR:2.22,95% CI:1.40 至 3.51)、独居(AOR:1.61,95% CI:1.00 至 2.59)、对目前生活不满意(AOR:2.04,95% CI:1.09 至 3.81)、身体疼痛(AOR:2.39,95% CI:1.73 至 3.31)和失眠(AOR:1.69,95% CI:1.24 至 2.31)呈正相关,而工作(AOR:0.55,95% CI:0.37 至 0.80)与抑郁症状呈负相关。此外,在男性中,年龄较大(80 岁及以上)(AOR:1.95,95% CI:1.06 至 3.58)、未满足的医疗保健需求(AOR:2.19,95% CI:1.07 至 4.47)和听力困难(AOR:2.41,95% CI:1.06 至 5.52)正相关,而社会网络(AOR:0.94,95% CI:0.90 至 0.99)负相关。在女性中,膀胱失控(AOR:1.69,95% CI:1.03 至 2.77)与抑郁症状呈正相关:结论:参与本研究的老年人中,每三人中就有一人出现抑郁症状。社会人口因素、压力因素和健康状况因素与抑郁症状呈正相关,而支持因素与抑郁症状呈负相关。
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Prevalence and Associated Factors of Depressive Symptoms among Older Adults in the Philippines.

Background: Depressive symptoms may increase with age, potentially influenced by sociodemographic characteristics, stressors and support, health status, and health behaviour. It is unclear if this is the case among older adults in the Philippines. Therefore, the aim of this study is to estimate the prevalence and associated factors of depressive symptoms among older adults in the Philippines.

Methods: In all, 5209 items of cross-sectional nationally representative data from older adults (≥60 years) participating in the 2018 Longitudinal Study on Ageing and Health in the Philippines (LSAHP) were analysed. Depressive symptoms were assessed using the 11-item 3-response category Center for Epidemiological Studies Depression (CES-D) Scale.

Results: The overall prevalence of depressive symptoms was 32.1%, with 25.6% among older men and 36.5% among older women. In the final adjusted models, overall, widowed (Adjusted Odds Ratio (AOR): 1.52, 95% Confidence Interval (CI): 1.00 to 2.30), hunger (AOR: 2.22, 95% CI: 1.40 to 3.51), living alone (AOR: 1.61, 95% CI: 1.00 to 2.59), not satisfied with present life (AOR: 2.04, 95% CI: 1.09 to 3.81), body pain (AOR: 2.39, 95% CI: 1.73 to 3.31), and insomnia (AOR: 1.69, 95% CI: 1.24 to 2.31) were positively associated, while working (AOR: 0.55, 95% CI: 0.37 to 0.80) was negatively associated with depressive symptoms. In addition, among men, older age (80 years and above) (AOR: 1.95, 95% CI: 1.06 to 3.58), unmet healthcare needs (AOR: 2.19, 95% CI: 1.07 to 4.47), and hearing difficulty (AOR: 2.41, 95% CI: 1.06 to 5.52) were positively associated poor childhood health (AOR: 0.12, 95% CI: 0.04 to 0.36), while social network (AOR: 0.94, 95% CI: 0.90 to 0.99) was negatively associated. Among women, loss of bladder control (AOR: 1.69, 95% CI: 1.03 to 2.77) was positively associated with depressive symptoms.

Conclusion: One in three older adults participating in this study exhibited depressive symptoms. Sociodemographic factors, stressors, and health status factors were positively associated, and support factors were negatively associated with depressive symptoms.

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来源期刊
Actas espanolas de psiquiatria
Actas espanolas de psiquiatria 医学-精神病学
CiteScore
1.70
自引率
6.70%
发文量
46
审稿时长
>12 weeks
期刊介绍: Actas Españolas de Psiquiatría publicará de manera preferente trabajos relacionados con investigación clínica en el área de la Psiquiatría, la Psicología Clínica y la Salud Mental.
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