Prevalence of depression and its determinants among centenarians in Hainan
10.3760/cma.j.issn.0254-9026.2020.04.021
- VernacularTitle:海南百岁老年人抑郁状况及其关联因素研究
- Author:
Chaoxue NING
1
;
Yao YAO
;
Xiaoping CHEN
;
Qiao ZHU
;
Shuai YU
;
Na WANG
;
Faqin LYU
;
Qiong LIU
;
Yao HE
;
Fu ZHANG
;
Fuxin LUAN
;
Yali ZHAO
Author Information
1. 中国人民解放军总医院海南医院中心实验室，三亚 572000
- From:
Chinese Journal of Geriatrics
2020;39(4):462-466
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of depression and to analyze its determinants among centenarians in Hainan.Methods:A cross-sectional study on centenarians was conducted in Hainan from June 2014 to December 2016.A total of 910 centenarians, including 166 males and 744 females, were interviewed in their domiciles by trained investigators.A 15-item Geriatric Depression Scale(GDS-15)was used to assess depression for centenarians, and general sociodemographic details, sleep quality, cognitive function, activities of daily living, and lifestyles were recorded.Multivariate logistic regression analysis was used to determine major related factors for depression in centenarians.Results:Of the 910 centenarians, 292 were regarded as depressed and the prevalence was 32.1%.Univariate analysis showed that there were significant differences in gender, education, marital status, self-reported health, incontinence, dietary habits, sleep quality, activities of daily living, cognitive function, outdoor activities, watching TV, and social engagement between subjects with and without depression( P<0.05). Multivariate logistic regression analysis showed that living conditions, self-reported health, activities of daily living, and sleep quality were independent related factors for depression in centenarians( P<0.05). Among the above related factors, living with families( OR=0.50, P=0.026)and good sleep quality( OR=0.67, P=0.010)were protective factors for depression, whereas poor self-reported health( OR=3.34, P<0.001)and disability( OR=2.37, P=0.002)were risk factors for depression in centenarians. Conclusions:Living conditions, self-reported health, activities of daily living, and sleep quality were independently correlated with depression in Hainan centenarians.This study provides empirical evidence for depression interventions and mental health improvement in centenarians.
