呼伦贝尔地区老年抑郁症患病率及影响因素探究概述.doc

呼伦贝尔地区老年抑郁症患病率及影响因素探究概述【摘要】目的了解呼伦贝尔地区老年抑郁症患病率水平及其危险因素,为制定防治措施提供科学依据。方法采用整群随机抽样方法以及描述性分析、Logistic回归等统计分析方法对呼伦贝尔地区老年抑郁症患病率水平及其危险因素进行分析。结果发现老年抑郁症114例,患病率为7?62%。多因素Logistic回归分析显示:女性、健康自评一般、经济自评差、独居、有难过和恐怖经历的老年人抑郁症患病概率高,经常与朋友交流能降低抑郁症患病率，经常参加户外的健身运动能降低抑郁症的患病率。结论呼伦贝尔地区老年抑郁症患病率为7?62%，明显高于国家老年抑郁症患病率的平均值；老年女性抑郁症患病率高于老年男性。【关键词】患病率 影响因素 老年抑郁症 高寒地区 Overview of prevalence of elderly depression and influencing factors in HulunbeierZHANG Xiong, SUN Wei, LI Ya-jun. Mental Health Center in Hulunbeir City,Hulunbeir 022150,China【Abstract】ObjectiveTo understand the prevalence of elderly depression and their risk factors in Hulunbeier,to provide scientific basis for prevention and control measures.MethodsA cluster random sampling method and the descriptive analysis, Logistic regression analysis were used to analyze the prevalence of elderly depression and their risk factors in Hulunbeier.Results114 cases of geriatric depression,the prevalence was 7?62%.Multivariate Logistic regression analysis showed that:women, health self-assessment in general,economic self-assessment is poor, living alone,a sad and terror experience increased prevalence of depression in the probability of the elderly,often contacted with friends to reduce the prevalence of depression.Regularly participate in outdoor fitness exercise can reduce the prevalence of depression.ConclusionThe prevalence of depression from regional was 7?62%,significantly higher than the national average of elderly depression,and depression women are more than depression men.【Key words】Prevalence;Factors;Elderly depression;Alpine region为了解呼伦贝尔地区老年抑郁症患病情况，制定合理防治措施，现将笔者调查报告分析总结如下。1资料与方法 1?1一般资料呼伦贝尔地区老年人躯体疾病与抑郁症及亚病例患病率，呼伦贝尔地区老年人负性生活事件与抑郁症患病率，呼伦贝尔地区老年人自评状况和社会支持与抑郁症患病率，GMS量表用于呼伦贝尔地区老年抑郁症诊断的信度和效度。 1?2研究工具及方法 1?2?1调查工具-GMS量表本研究采用英国利物浦大学老年精神病研究所Copeland教授设计的老年精神状况量表(GeriatricMental State Schedule,GMS)(社区简版第三版汉化本)作为调查工具。该量表在世界各地正得到广泛应用,日益成为国际交流中的通用测评工具［1］。根据利物浦大学精神病研究所相似研究使用的Minimum Data Set调查表,并参考我国其他城市与农村等地区有关危险因素的研究量表,制定了本课题使用的危险因素调查表。主