TY - JOUR
T1 - Prevalence and socio-demographic correlates of major depressive disorder in older adults in Hebei province, China
AU - Zhang, Yun Shu
AU - Jin, Yu
AU - Rao, Wen Wang
AU - Cui, Li Jun
AU - Li, Jian Feng
AU - Li, Lin
AU - Ungvari, Gabor S.
AU - Hall, Brian J.
AU - Li, Ke Qing
AU - Xiang, Yu Tao
PY - 2020/3/15
Y1 - 2020/3/15
N2 - Background: 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.
AB - Background: 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.
KW - China
KW - Correlates
KW - Elderly
KW - Epidemiology
KW - Major depressive disorder
UR - http://www.scopus.com/inward/record.url?scp=85075888492&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2019.11.096
DO - 10.1016/j.jad.2019.11.096
M3 - Article
C2 - 31787422
AN - SCOPUS:85075888492
VL - 265
SP - 590
EP - 594
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -