Prevalence of major depressive disorder and its socio-demographic correlates in the general adult population in Hebei province, China

Yun Shu Zhang, Wen Wang Rao, Li Jun Cui, Jian Feng Li, Lin Li, Chee H. Ng, Gabor S. Ungvari, Ke Qing Li, Yu Tao Xiang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Major depressive disorder (MDD) is a common psychiatric disorder which is associated with significant disability and psychosocial factors. There are only few epidemiological studies of MDD in economically underdeveloped regions of China. This study examined the 1-month and lifetime prevalence of MDD and their sociodemographic correlates in Hebei province, China. Methods: Using multistage, stratified and random sampling, the study was conducted between April and August 2016. The diagnosis of MDD was established using the Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition. Results: The weighted 1-month and lifetime prevalence of MDD were 0.9% (95%CI: 0.8–1.1%) and 1.6% (95%CI: 1.4–1.8%), respectively in the sample of 14,654 adult participants. Multiple logistic regression analysis revealed that the age group of 45–59 years (P < 0.001, OR=3.206, 95%CI:1.693–6.072), female gender (P < 0.001, OR=2.171, 95%CI: 1.522–3.097), married marital status (P < 0.001, OR=0.328, 95%CI: 0.198–0.545), college educational level or higher (P = 0.006, OR=0.145, 95%CI: 0.037–0.573), employment (P = 0.010, OR=2.305, 95%CI: 1.220–4.353), major medical conditions (P < 0.001, OR=3.758, 95%CI: 2.607–5.418) and family history of psychiatric disorders (P < 0.001, OR=3.947, 95%CI: 2.203–7.071) were significantly associated with MDD. Conclusion: The prevalence of MDD in Hebei province was found to be lower than in most areas of China and other countries. Further studies are warranted to confirm the low prevalence of MDD in other economically underdeveloped regions of China.

Original languageEnglish
Pages (from-to)92-98
Number of pages7
JournalJournal of Affective Disorders
Volume252
DOIs
Publication statusPublished - 1 Jun 2019

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Major Depressive Disorder
China
Demography
Population
Psychiatry
Sampling Studies
Marital Status
Diagnostic and Statistical Manual of Mental Disorders
Epidemiologic Studies
Age Groups
Logistic Models
Regression Analysis
Interviews
Psychology

Cite this

Zhang, Yun Shu ; Rao, Wen Wang ; Cui, Li Jun ; Li, Jian Feng ; Li, Lin ; Ng, Chee H. ; Ungvari, Gabor S. ; Li, Ke Qing ; Xiang, Yu Tao. / Prevalence of major depressive disorder and its socio-demographic correlates in the general adult population in Hebei province, China. In: Journal of Affective Disorders. 2019 ; Vol. 252. pp. 92-98.
@article{00b0291936f94c1eb3846256b823d510,
title = "Prevalence of major depressive disorder and its socio-demographic correlates in the general adult population in Hebei province, China",
abstract = "Background: Major depressive disorder (MDD) is a common psychiatric disorder which is associated with significant disability and psychosocial factors. There are only few epidemiological studies of MDD in economically underdeveloped regions of China. This study examined the 1-month and lifetime prevalence of MDD and their sociodemographic correlates in Hebei province, China. Methods: Using multistage, stratified and random sampling, the study was conducted between April and August 2016. The diagnosis of MDD was established using the Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition. Results: The weighted 1-month and lifetime prevalence of MDD were 0.9{\%} (95{\%}CI: 0.8–1.1{\%}) and 1.6{\%} (95{\%}CI: 1.4–1.8{\%}), respectively in the sample of 14,654 adult participants. Multiple logistic regression analysis revealed that the age group of 45–59 years (P < 0.001, OR=3.206, 95{\%}CI:1.693–6.072), female gender (P < 0.001, OR=2.171, 95{\%}CI: 1.522–3.097), married marital status (P < 0.001, OR=0.328, 95{\%}CI: 0.198–0.545), college educational level or higher (P = 0.006, OR=0.145, 95{\%}CI: 0.037–0.573), employment (P = 0.010, OR=2.305, 95{\%}CI: 1.220–4.353), major medical conditions (P < 0.001, OR=3.758, 95{\%}CI: 2.607–5.418) and family history of psychiatric disorders (P < 0.001, OR=3.947, 95{\%}CI: 2.203–7.071) were significantly associated with MDD. Conclusion: The prevalence of MDD in Hebei province was found to be lower than in most areas of China and other countries. Further studies are warranted to confirm the low prevalence of MDD in other economically underdeveloped regions of China.",
keywords = "China, Epidemiology, Major depressive disorder, Prevalence",
author = "Zhang, {Yun Shu} and Rao, {Wen Wang} and Cui, {Li Jun} and Li, {Jian Feng} and Lin Li and Ng, {Chee H.} and Ungvari, {Gabor S.} and Li, {Ke Qing} and Xiang, {Yu Tao}",
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Prevalence of major depressive disorder and its socio-demographic correlates in the general adult population in Hebei province, China. / Zhang, Yun Shu; Rao, Wen Wang; Cui, Li Jun; Li, Jian Feng; Li, Lin; Ng, Chee H.; Ungvari, Gabor S.; Li, Ke Qing; Xiang, Yu Tao.

In: Journal of Affective Disorders, Vol. 252, 01.06.2019, p. 92-98.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of major depressive disorder and its socio-demographic correlates in the general adult population in Hebei province, China

AU - Zhang, Yun Shu

AU - Rao, Wen Wang

AU - Cui, Li Jun

AU - Li, Jian Feng

AU - Li, Lin

AU - Ng, Chee H.

AU - Ungvari, Gabor S.

AU - Li, Ke Qing

AU - Xiang, Yu Tao

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Background: Major depressive disorder (MDD) is a common psychiatric disorder which is associated with significant disability and psychosocial factors. There are only few epidemiological studies of MDD in economically underdeveloped regions of China. This study examined the 1-month and lifetime prevalence of MDD and their sociodemographic correlates in Hebei province, China. Methods: Using multistage, stratified and random sampling, the study was conducted between April and August 2016. The diagnosis of MDD was established using the Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition. Results: The weighted 1-month and lifetime prevalence of MDD were 0.9% (95%CI: 0.8–1.1%) and 1.6% (95%CI: 1.4–1.8%), respectively in the sample of 14,654 adult participants. Multiple logistic regression analysis revealed that the age group of 45–59 years (P < 0.001, OR=3.206, 95%CI:1.693–6.072), female gender (P < 0.001, OR=2.171, 95%CI: 1.522–3.097), married marital status (P < 0.001, OR=0.328, 95%CI: 0.198–0.545), college educational level or higher (P = 0.006, OR=0.145, 95%CI: 0.037–0.573), employment (P = 0.010, OR=2.305, 95%CI: 1.220–4.353), major medical conditions (P < 0.001, OR=3.758, 95%CI: 2.607–5.418) and family history of psychiatric disorders (P < 0.001, OR=3.947, 95%CI: 2.203–7.071) were significantly associated with MDD. Conclusion: The prevalence of MDD in Hebei province was found to be lower than in most areas of China and other countries. Further studies are warranted to confirm the low prevalence of MDD in other economically underdeveloped regions of China.

AB - Background: Major depressive disorder (MDD) is a common psychiatric disorder which is associated with significant disability and psychosocial factors. There are only few epidemiological studies of MDD in economically underdeveloped regions of China. This study examined the 1-month and lifetime prevalence of MDD and their sociodemographic correlates in Hebei province, China. Methods: Using multistage, stratified and random sampling, the study was conducted between April and August 2016. The diagnosis of MDD was established using the Structured Clinical Interview for DSM-IV Axis I Disorders-Patient Edition. Results: The weighted 1-month and lifetime prevalence of MDD were 0.9% (95%CI: 0.8–1.1%) and 1.6% (95%CI: 1.4–1.8%), respectively in the sample of 14,654 adult participants. Multiple logistic regression analysis revealed that the age group of 45–59 years (P < 0.001, OR=3.206, 95%CI:1.693–6.072), female gender (P < 0.001, OR=2.171, 95%CI: 1.522–3.097), married marital status (P < 0.001, OR=0.328, 95%CI: 0.198–0.545), college educational level or higher (P = 0.006, OR=0.145, 95%CI: 0.037–0.573), employment (P = 0.010, OR=2.305, 95%CI: 1.220–4.353), major medical conditions (P < 0.001, OR=3.758, 95%CI: 2.607–5.418) and family history of psychiatric disorders (P < 0.001, OR=3.947, 95%CI: 2.203–7.071) were significantly associated with MDD. Conclusion: The prevalence of MDD in Hebei province was found to be lower than in most areas of China and other countries. Further studies are warranted to confirm the low prevalence of MDD in other economically underdeveloped regions of China.

KW - China

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KW - Major depressive disorder

KW - Prevalence

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