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目的探讨青岛市黄岛区农村中老年人抑郁的流行特征及其危险因素。方法 2009年11月30日至12月15日,采用多阶段(整群分层与随机抽样结合)抽样方法抽取黄岛地区35~74岁常住居民502名,对其应用ZUNG抑郁自评量表(SDS)进行面对面的问卷调查,整理后对数据进行卡方检验及Logistic回归分析。结果 502名调查对象中有446例存在不同程度的抑郁症状。其中轻度151例(30.08%),中度282例(56.18%),重度13例(2.58%);不同BMI、血压、血糖和血脂者抑郁状况差异均无统计学意义(P>0.05);多元非条件Logistic回归分析发现,性别、年龄、收入水平、受教育程度为影响中老年人抑郁水平的因素。结论抑郁症状是黄岛地区农村中老年人常见的心理健康问题,且其发生情况与多种因素有关。
Objective To investigate the prevalence and the risk factors of depression in rural middle-aged and elderly people in Huangdao District of Qingdao City. Methods From November 30, 2009 to December 15, 2009, 502 residents aged from 35 to 74 years in Huangdao District were sampled by multi-stage sampling (cluster stratification and random sampling), and their self-rating scale of ZUNG depression (SDS) face-to-face questionnaire, after finishing the data chi-square test and Logistic regression analysis. Results There were 446 depressive symptoms in 502 subjects. Among them, there were 151 cases (30.08%) mildly, 282 (56.18%) moderate and 13 severe cases (2.58%). There was no significant difference in depression between different BMI, blood pressure, blood glucose and blood lipid (P> 0.05) Multivariate non-conditional logistic regression analysis found that gender, age, income level and education level were the factors influencing the level of depression in middle-aged and elderly people. Conclusions Depression is a common mental health problem among middle-aged and elderly people in Huangdao area, and its occurrence is related to many factors.