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预防医学  2023, Vol. 35 Issue (8): 649-654    DOI: 10.19485/j.cnki.issn2096-5087.2023.08.002
  论著 本期目录 | 过刊浏览 | 高级检索 |
2011—2018年我国中老年人抑郁症状流行趋势分析
段芮, 王红
北京大学公共卫生学院生物统计系,北京 100191
Trends in prevalence of depression symptoms among middle-aged and elderly residents in China from 2011 to 2018
DUAN Rui, WANG Hong
Department of Biostatistics, School of Public Health, Peking University, Beijing 100191, China
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摘要 目的 了解2011—2018年我国≥45岁中老年人抑郁症状检出率变化,为中老年人抑郁防治提供依据。方法 基于中国健康与养老追踪调查(CHARLS)数据库,收集2011—2018年4次随访的≥45岁中老年人的人口学信息和抑郁症状评估资料;抑郁症状评估采用流调中心用抑郁量表(CES-D);资料经抽样、无应答和事后分层加权调整后,分析不同人口学特征的中老年人抑郁症状检出率,采用年度变化百分比(APC)分析抑郁症状检出率变化趋势。结果 共纳入48 223人资料分析,2011年、2013年、2015年和2018年分别为12 624、10 427、12 144、13 028人,年龄分别为(58.8±9.4)、(58.9±9.2)、(59.0±9.2)、(61.1±9.2)岁。抑郁症状检出率分别为34.5%(95%CI:33.3%~35.8%)、29.6%(95%CI:28.5%~30.8%)、30.6%(95%CI:29.4%~31.8%)和35.0%(95%CI:33.6%~36.4%),未见明显变化趋势(APC=0.4%,t=0.188,P=0.868)。抑郁症状检出率随年龄增长而升高;女性检出率高于男性;农村居民检出率高于城市居民;受教育程度较低人群检出率较高;丧偶、独身人群检出率高于在婚人群;未就业人群检出率高于有工作人群;家庭人均消费支出低于平均值人群检出率高于家庭人均消费支出高于平均值人群,差异均有统计学意义(P<0.05)。结论 2011—2018年我国中老年人抑郁症状检出率无明显变化趋势,高龄、女性、农村、受教育程度低、经济条件差的人群是抑郁防制的重点人群。
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段芮
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关键词 抑郁症状中老年人检出率    
AbstractObjective To investigate the trends in prevalence of depression symptoms among middle-aged and elderly residents at ages of 45 years and older in China from 2011 to 2018, so as to provide insights into depression prevention and control among middle-aged and elderly residents. Methods Demographic features and evaluation data of depressive symptoms were collected from middle-aged and elderly residents at ages of 45 years and older recorded during four follow-ups in the China Health and Retirement Longitudinal Study (CHARLS), and the depressive symptoms were screened using the Center for Epidemiological Studies Depression Scale (CES-D). Following sampling weights, non-response weights, and post-stratification weighting, the detection of depressive symptoms was analyzed among the middle-aged and elderly residents with different demographics, and the trends in prevalence of depressive symptoms were identified using annual percent change (APC). Results A total of 48 223 middle-aged and elderly residents were enrolled, including 12 624, 10 427, 12 144, and 13 028 residents in 2011, 2013, 2015 and 2018, with mean ages of (58.8±9.4), (58.9±9.2), (59.0±9.2), and (61.1±9.2) years, respectively. The prevalence of depressive symptoms was 34.5% (95%CI: 33.3%-35.8%), 29.6% (95%CI: 28.5%- 30.8%), 30.6% (95%CI: 29.4%-31.8%), and 35.0% (95%CI: 33.6%-36.4%) among middle-aged and elderly residents in 2011, 2013, 2015 and 2018, respectively, with no remarkable changing trends seen (APC=0.4%, t=0.188, P=0.868). Higher detection was seen among residents at advanced ages, among women than among men, among rural residents than among urban residents, among residents with lower educational levels, among widowed and unmarried residents than among married residents, among unemployed residents than among employees, and among residents that had lower per capita personal consumption expenditures than mean expenditures than among residents that had higher per capita personal consumption expenditures than mean expenditures (all P<0.05). Conclusions There were no obvious trends in prevalence of depressive symptoms among middle-aged and elderly residents in China from 2011 to 2018, and individuals with advanced ages, women, urban residents and those with low educational and economic levels should be given a high priority for depression control.
Key wordsdepressive symptoms    middle-aged and elderly population    detection rate
收稿日期: 2023-03-03      修回日期: 2023-07-06      出版日期: 2023-08-10
中图分类号:  R749.4  
通信作者: 王红,E-mail:hwang@bjmu.edu.cn   
作者简介: 段芮,硕士研究生在读
引用本文:   
段芮, 王红. 2011—2018年我国中老年人抑郁症状流行趋势分析[J]. 预防医学, 2023, 35(8): 649-654.
DUAN Rui, WANG Hong. Trends in prevalence of depression symptoms among middle-aged and elderly residents in China from 2011 to 2018. Preventive Medicine, 2023, 35(8): 649-654.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.08.002      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I8/649
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