西湖区中老年人群抑郁症状调查  

Prevalence of depressive symptoms among middle-aged and elderly populations in Xihu District

作　　者：王尊晖 张丛笑[1] 沈利明[1] 陈晖[1] 牛星凯 WANG Zunhui;ZHANG Congxiao;SHEN Liming;CHEN Hui;NIU Xingkai(Xihu District Center for Disease Control and Prevention(Xihu District Health Inspection Institute),Hangzhou,Zhejiang 310031,China)

机构地区：[1]杭州市西湖区疾病预防控制中心(杭州市西湖区卫生监督所),浙江杭州310031

出　　处：《预防医学》2025年第3期296-299,共4页China Preventive Medicine Journal

基　　金：西湖区社科联项目(XH23SKL14)。

摘　　要：目的了解杭州市西湖区中老年人群抑郁症状检出情况,为制定中老年人群抑郁防控措施提供参考。方法基于中国疾病预防控制中心“神经系统疾病专病社区队列研究”项目,采用多阶段随机抽样方法抽取西湖区1个社区和1个行政村≥55岁常住居民为调查对象,分别于2018年和2021年通过问卷调查收集人口学信息、生活方式和疾病史等资料,采用老年抑郁量表评估抑郁症状,分析两次调查的抑郁症状检出率。结果2018年调查222人,其中男性101人,占45.50%;女性121人,占54.50%。年龄60~<70岁118人,占53.15%。农村户籍145人,占65.32%。检出抑郁症状35人,检出率为15.77%。年龄越大、有高血压的中老年人群抑郁症状检出率较高(均P<0.05)。2021年随访到192人,失访30人;检出抑郁症状7人,检出率为3.65%;其中4人在2018年已检出抑郁症状,3人为新检出。结论西湖区中老年人群抑郁症状检出率较低,高龄、高血压可能与抑郁症状风险升高有关。Objective To investigate the prevalence of depressive symptoms among middle-aged and elderly residents in Xihu District,Hangzhou City,so as to provide insights into prevention and intervention of depression for these populations.Methods Based on the Community-based Cohort Study of Neurological Diseases project of the Chinese Center for Disease Control and Prevention,the residents aged 55 years and above were selected from a community and an administrative village in Xihu District using a multi-stage random sampling method.Demographic information,lifestyle and disease history were collected using questionnaire surveys in 2018 and 2021.Depressive symptoms were evaluated using the Geriatric Depression Scale,and the prevalence of depressive symptoms was analyzed.Results A total of 222 participants were surveyed in 2018,including 101 males(45.50%)and 121 females(54.50%).There were 118 participants aged 60-<70 years(53.15%),145 participants with rural household registration(65.32%),and 35 participants(15.77%)with depressive symptoms.The prevalence of depressive symptoms was higher among older participants and participants with hypertension(both P<0.05).In 2021,192 participants were followed up,and 30 participants were lost to followup.Seven participants were found to have depressive symptoms,with a prevalence of 3.65%.Among them,four participants had been found to have depressive symptoms in 2018,and three participants were newly detected.Conclusions The prevalence of depressive symptoms among middle-aged and elderly residents in Xihu District was relatively low.Advanced age and hypertension might be associated with the risk of depressive symptoms.

关 键 词：中老年人群 抑郁症状 检出率 

分 类 号：R749.4[医药卫生—神经病学与精神病学]