Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
10.12290/xhyxzz.2024-0664
- VernacularTitle:1990-2021年中国老年抑郁症的疾病负担分析及预测
- Author:
Xiaolin BAO
1
;
Hongjuan WEI
;
Xinxin BIAN
;
Xiumei MA
;
Yin GAO
;
Yingyan ZHANG
;
Wei LIU
;
Yuexian MA
;
Weixin ZHANG
;
Xuewen YANG
Author Information
1. 齐齐哈尔医学院附属第二医院,黑龙江 齐齐哈尔 161006
- Publication Type:Journal Article
- Keywords:
elderly;
depression;
burden of disease;
prediction
- From:
Medical Journal of Peking Union Medical College Hospital
2025;16(2):361-369
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the trends in disease burden and risk factors of depression among the elderly population in China from 1990 to 2021,and to provide a theoretical basis for the prevention,treatment,and policy-making of geriatric depression in China.Methods Data on the disease burden of geriatric depres-sion in China from 1990 to 2021,including the number of incident cases,disability-adjusted life years(DALYs),incidence rate,and DALY rate,were extracted from the 2021 Global Burden of Disease(GBD)database.The Joinpoint regression model was used to analyze the trends by calculating the annual percentage change(APC)and average annual percentage change(AAPC).The autoregressive integrated moving average(ARIMA)model was employed to predict the disease burden of geriatric depression over the next five years.Population attributable fractions(PAFs)were used to describe the risk factors for geriatric depression in China in 1990 and 2021.Results From 1990 to 2021,the number of incident cases and the incidence rate of geri-atric depression in China showed an overall upward trend.The most significant increase in incidence was ob-served in the 60-64 age group,while the prevalence rate increased notably in the ≥ 95 age group.The DALY rate showed the most pronounced upward trend in the 65-69 age group.The incidence,prevalence,and DALY rates of geriatric depression were higher in women than in men.Major risk factors included child-hood sexual abuse and intimate partner violence,with the impact of intimate partner violence being particular-ly significant among women.The ARIMA model predicted that the incidence,prevalence,and DALY rates of geriatric depression in China would decline over the next five years,with a greater decline observed in women than in men.Conclusions From 1990 to 2021,the incidence,prevalence,and DALY rates of geriatric de-pression in China showed an overall upward trend,with higher rates observed in women than in men.Greater attention should be paid to the elderly female population,with a focus on early prevention to reduce the dis-ease burden of geriatric depression.
