Influencing factors for depressive symptoms in the elderly aged 65 years and older in 8 longevity areas in China

Qi Kang; Yuebin Lyu; Yuan Wei; Wanying Shi; Jun Duan; Jinhui Zhou; Jiaonan Wang; Feng Zhao; Yingli QU; Ling Liu; Yingchun Liu; Zhaojin Cao; Qiong YU; Xiaoming Shi

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Influencing factors for depressive symptoms in the elderly aged 65 years and older in 8 longevity areas in China

VernacularTitle: 中国8个长寿地区65岁及以上老年人抑郁症状影响因素分析
Author: Qi KANG ^{1
,

2} ; Yuebin LYU ¹ ; Yuan WEI ^{1
,

2} ; Wanying SHI ¹ ; Jun DUAN ^{1
,

3} ; Jinhui ZHOU ¹ ; Jiaonan WANG ¹ ; Feng ZHAO ¹ ; Yingli QU ¹ ; Ling LIU ¹ ; Yingchun LIU ¹ ; Zhaojin CAO ¹ ; Qiong YU ⁴ ; Xiaoming SHI ¹
Author Information

1. National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing 100021, China
2. Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, China
3. Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei 230032, China
4. Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, China
Publication Type:Journal Article
Keywords: Depressive symptom; Elderly; Influence factor
From:Chinese Journal of Epidemiology 2020;41(1):20-24
CountryChina
Language:Chinese
Abstract: Objective:To analyze influencing factors for depressive symptoms in the elderly aged 65 years and older in 8 longevity areas in China.
Methods:We recruited 2 180 participants aged 65 years and older in 8 longevity areas from Healthy Aging and Biomarkers Cohort Study, a sub-cohort of the Chinese Longitudinal Healthy Longevity Survey in 2017. Multivariate logistic regression analysis was performed to evaluate the relationships of socio-demographic characteristics, behavioral lifestyle, chronic disease prevalence, functional status, family and social support with depressive symptoms in the elderly.
Results:The detection rate of depression symptoms was 15.0% in the elderly aged 65 years and older in 8 longevity areas of China, and the detection rate of depression symptoms was 11.5% in men and 18.5% in women. Multivariate logistic regression analysis results showed that the detection rate of depressive symptoms was lower in the elderly who had regular physical exercises (OR=0.44, 95%CI: 0.26-0.74), frequent fish intakes (OR=0.57, 95%CI: 0.39-0.83), recreational activities (OR=0.65, 95%CI: 0.44-0.96), social activities (OR=0.28, 95%CI: 0.11-0.73) and community services (OR=0.68, 95%CI: 0.50-0.93). The elderly who were lack of sleep (OR=2.04, 95%CI: 1.49-2.80), had visual impairment (OR=1.54, 95%CI: 1.08-2.18), had gastrointestinal ulcer (OR=2.97, 95%CI: 1.53-5.77), had arthritis (OR=2.63, 95%CI: 1.61-4.32), had higher family expenditure than income (OR=1.80, 95%CI: 1.17-2.78) and were in poor economic condition (OR=4.58, 95%CI: 2.48-8.47) had higher detection rate of depressive symptoms.
Conclusion:The status of doing physical exercise, fish intake in diet, social activity participation, sleep quality or vision, and the prevalence of gastrointestinal ulcers and arthritis were associated with the detection rate of depressive symptoms in the elderly.