Li Jiazhong,Peng Shurong,Huang Peihui,Hu Xiaoliang,Tu Zunkui,Wu Gaomei,Yin Ling,Gao Ru,Depressive symptoms detection among the urban elderly in Ya'an city and its influencing factors six years after Lushan earthquake[J].SICHUAN MENTAL HEALTH,2021,34(6):550-554 |
Depressive symptoms detection among the urban elderly in Ya'an city and its influencing factors six years after Lushan earthquake |
DOI:10.11886/scjsws20210419002 |
English keywords:Earthquake Urban elderly Depressive symptoms |
Fund projects:四川省基层卫生事业发展研究中心(项目名称:城市老年人认知功能障碍研究,项目编号:SWFZ17-Y-36);雅安市科技计划项目(项目名称:芦山4.20地震后雅安地区精神障碍现状调查及干预对策研究,项目编号:2018yyjskf04) |
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English abstract: |
Objective To investigate the prevalence and characteristics of depressive symptoms among urban elderly six years after Lushan earthquake in Ya'an, so as to provide references for the mental health interventions for elderly following catastrophic stressful life events.Methods From March to April 2019, a multi-stage stratified cluster random sampling method was adopted to enroll 885 urban elderly people aged 60 and above in Ya'an. A self-compiled questionnaire was used to collect the general demographic information, health-related and disaster-related information, meantime, the elderly was assessed using Geriatric Depression Scale (GDS-30). Thereafter, univariate and multivariate Logistic regression were applied to explore the influencing factors of depressive symptoms in urban elderly.Results A total of 783 valid questionnaires were collected, with a questionnaires response rate of 88.47%. Depressive symptoms were detected in 161 cases (20.56%). The prevalence of depression showed statistical differences among the elderly of different gender, age, marital status, family relationship, monthly per capita household income, physical exercise status, health status, self-care ability, sleep status and disaster-affected degree (P<0.05 or 0.01). Logistic regression analysis showed that the urban elderly of the female gender (OR=1.552, P=0.040), monthly per capita household income of 2000~3000 yuan (OR=6.982, P<0.01), monthly per capita household income≤2000 yuan (OR=6.857, P<0.01), lack of physical exercise (OR=1.693, P<0.01), being less capable of self-care (OR=3.838, P<0.01), being incapable of self-care (OR=8.547, P<0.01), complicating multiple curable diseases (OR=4.892, P<0.01) and complicating refractory chronic diseases (OR=5.657, P=0.031) were at high risk of depressive symptoms. The risk of depressive symptoms among the divorced or widowed elderly was greater than that among married elderly (OR=0.063, P<0.01).Conclusion The prevalence of depressive symptoms is relatively high among the urban elderly six years after Lushan earthquake in Ya'an, moreover, female gender, low monthly per capita household income, lack of physical exercise, being incapable of self-care and poor health status are risk factors affecting the depressive symptom, while being married is a protective factor. |
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