首都医科大学学报 ›› 2008, Vol. 29 ›› Issue (3): 283-287.

• 专题报道 • 上一篇    下一篇

北京市城乡老年人常见慢性疾病对抑郁症状发病率的影响

孙菲, 汤哲, 刘富荣, 刁丽军, 刘宏军, 关绍晨, 吴晓光   

  1. 首都医科大学宣武医院流行病学与社会医学部, 教育部神经变性病重点实验室
  • 收稿日期:2008-04-16 修回日期:1900-01-01 出版日期:2008-06-24 发布日期:2008-06-24
  • 通讯作者: 汤哲

Comparative Study on the Impact of Common Chronic Diseases on the Incidence of Depression in the Elderly between the Urban and Rural Areas

Sun Fei, Tang Zhe, Liu Furong, Diao Lijun, Liu Hongjun, Guan Shaochen, Wu Xiaoguang   

  1. Department of Epidemiology and Society Medicine, Key Laboratory for Neurodegenerative Diseases ofMinistry of Education, Xuanwu Hospital, Capital Medical University
  • Received:2008-04-16 Revised:1900-01-01 Online:2008-06-24 Published:2008-06-24

摘要: 目的 探讨慢性疾病对老年抑郁症发病率的影响.方法 采用按类分层、随机、整群等距的抽样原则,在北京市城乡社区老年人群中抽取样本人群,分别于2000年和2004年采用综合问卷进行入户调查.结果 在各类慢性疾病患者中,农村老年人的抑郁症状发生率均高于城市老年人.在患有心脑血管疾病和胃肠道疾病的农村老年患者中,抑郁症状的发病率明显高于本地区未患该种疾病的老年人.出现听力障碍的城市老年人的抑郁症状发病率明显高于本地区听力正常的老年人.结论 应积极开展老年健康教育,普及身心健康知识,提高农村人口的医疗保障水平,使老年人在延长生命的同时,具有较高的生命质量.

关键词: 老年人, 慢性病, 抑郁症状, 发病率

Abstract: Objective To investigate the effects of chronic diseases on the incidence of depression symptom in the elderly between the urban and rural areas.Methods The sample population consisted of 2 506 elderly people was sampled from urban and rural communities in Beijing with well-established statistical sampling conditions and techniques such as clustering,stratification and random selection.Data were collected by trained staffs using standard survey instruments in years 2000 and 2004.Results The incidence of depression symptom in rural area was higher than that in urban area,among the elderly adults who had variety chronic diseases.In the rural area,the incidence of depression among people who had cardiovascular,respiratory,cerebrovascular or digestive system diseases was significantly higher than that of the people who didn't have corresponding disease.In the urban,the incidence of depression in the elderly who had hearing disturbance was also significantly higher than those who had normal hearing.Conclusion It is important to develop health education and spread the health knowledge in the elderly,for improving medical care assurance,prolonging the life of the elderly and elevating their qualities of life especially in the rural areas.

Key words: elderly, chronic diseases, depression symptom, incidence

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