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目的 :分析北京市老年人抑郁症状的现状和影响因素。方法 :在 2 0 0 0年对一个流行病学队列研究人群的 5 5岁以上初老年和老年人的样本 2 660例 ,采用自评量表CES -D评定抑郁症状的有无 ,并和人口学因素 (年龄、性别、地区 )、慢性病患病情况及日常生活自理能力进行对比分析。结果 :不同年龄组抑郁症状的检出率无明显差别 (P >0 0 5 )。分层分析显示 ,女性 (17 4% )和农村老年人 (2 0 9% )抑郁症状的检出率高于男性 (9 6% ,χ2 =3 4 6,P <0 0 1)和城市居民 (7 4% ,χ2 =10 2 5 ,P <0 0 1)。抑郁症状与日常生活能力 (ADL) (χ2 =96,P <0 0 1)、慢性病患病情况 (χ2 =3 9,P <0 0 1)密切相关。结论 :女性、居住于山区、低教育水平并患有慢性病及日常生活能力差的老年人更易出现抑郁情绪
Objective: To analyze the current status and influencing factors of depression in the elderly in Beijing. METHODS: Totally 2 660 children aged 5 5 and over who were enrolled in a cohort of epidemiological cohorts were enrolled in this study. The self-rating scale CES-D was used to assess the presence or absence of depressive symptoms and to compare with the population Learning factors (age, gender, region), the prevalence of chronic diseases and daily living self-care ability comparative analysis. Results: There was no significant difference in the prevalence of depressive symptoms among different age groups (P> 0.05). Hierarchical analysis showed that the detection rate of depressive symptoms was higher in women (17.4%) and rural elderly (29.0%) than in men (9.6%, 2 = 346, P <0.01) and urban residents (74%, χ2 = 1025, P <0.01). Depressive symptoms were closely related to ADL (χ2 = 96, P <0.01) and the prevalence of chronic diseases (χ2 = 39, P <0.01). CONCLUSIONS: Women, older adults living in mountainous areas, with lower education levels and with chronic diseases and poor daily living, are more likely to experience depression