Prevalence of depressive symptoms among older adults in mainland China: A systematic review and meta-analysis

萧条(经济学) 荟萃分析 医学 婚姻状况 人口学 中国 流行 中国大陆 抑郁症状 老年学 流行病学 精神科 人口 环境卫生 内科学 认知 地理 社会学 宏观经济学 经济 考古
作者
Tan Tang,Jianling Jiang,Xinfeng Tang
出处
期刊:Journal of Affective Disorders [Elsevier BV]
卷期号:293: 379-390 被引量:158
标识
DOI:10.1016/j.jad.2021.06.050
摘要

To date, the reported prevalence of late-life depression in China has varied considerably, and the pooled overall prevalence of depressive symptoms among older adults in China and the tendency of the rate to change in the past 30 years have remained unknown. Thus, our study was designed to form an accurate and comprehensive picture of the recent prevalence of depressive symptoms among older adults in China. Literature searches were conducted independently by two investigators in English- and Chinese-language databases from database inception to January 2020. The prevalence of depressive symptoms was analysed with a random effects model. In the 81 eligible studies (n = 261,697) identified, the pooled overall prevalence of depressive symptoms among older adults in China was 20.0% (95% CI, 17.5%-22.8%), with high heterogeneity, Q = 22,947.0, I2 = 99.7%, p < .001. Subgroup analyses revealed significant differences in the prevalence of late-life depression depending upon gender, marital status, socio-economic status, and measurement scale(s) used. Meta-regression indicated that the prevalence of depressive symptoms among older adults in China increased from the 1990s to the 2000s but slightly decreased from the 2000s to the 2010s. Significant heterogeneity among the studies reviewed was unavoidable, and the findings was not generalisable to all regions in China. Depressive symptoms are common among older adults in China, and policies should be developed that consider vulnerable older adults in particular.
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