Study on the prevalence of depression in the middle-aged and elderly population in China, regional differences and influencing factors_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Pengfei ¹ , XIAO Feng ¹ , YANG Xiaoguang ² , LI Gang ¹ , LI Yifei ¹ , GUO Yanshan ¹ , XU Kuanyu ³ ,  LI Yunming ³

1. Department of Health Economics, the General Hospital of Western Theater Command, Chengdu 610083, P. R. China;
2. Medical Support Center, the General Hospital of Western Theater Command, Chengdu 610083, P. R. China;
3. Department of Information, Medical Support Center, the General Hospital of Western Theater Command, Chengdu 610083, P. R. China;

Corresponding author：

LI Yunming, Email: lee3082@sina.com

Keywords：

Depression; Middle-aged and elderly; Mental health; Influencing factors; CHARLS

DOI：

10.7507/1672-2531.202410133

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the prevalence, regional differences, and influencing factors of depression in the middle-aged and elderly population aged 45 years and above in China. Methods Data were obtained from the latest survey data of the China Health and Retirement Longitudinal Study (CHARLS) in 2020, and the CES-D-10 scale was used to assess depression among respondents, and χ² test and binary logistic regression were used to screen for the influencing factors of depression. Results A total of 10 583 valid samples were included, with 47.7% males and 52.3% females, and the mean age was (65.3±8.0) years. The average CES-D-10 scale score of the study population was (9.11±6.53), and the prevalence rate of depression was 40.5% (95%CI 39.6% to 41.5%), with a significantly higher prevalence rate of depression in the Midwestern population than the Eastern population. The gender, age, living with a partner, education, region, urban/rural, duration of sleep, internet access, alcohol consumption, number of chronic diseases, and the presence of ADL and IADL disorders are the influencing factors of depression in middle-aged and elderly populations. Conclusion The prevalence of depression in the middle-aged and elderly population in China is high, but there are significant differences in the prevalence rates of populations with different characteristics, and the high-risk groups should be emphasized when improving the mental health of the middle-aged and elderly population.

1.	祝春素, 连至炜, 崔一民. 中国中老年人抑郁和慢性病的关联. 北京大学学报(医学版), 2023, 55(4): 606-611.
2.	周鹏飞, 杨孝光, 路强, 等. 中国农村老年人群抑郁症患病率的Meta分析. 中国循证医学杂志, 2024, 24(1): 36-42.
3.	Yu Y, Hu M, Liu ZW, et al. Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study. BMC Psychiatry, 2016, 16: 93.
4.	郝萌萱, 尹孟凡, 夏笑清, 等. 1990年与2019年中国人群抑郁症疾病负担分析. 中国慢性病预防与控制, 2022, 30(8): 623-625.
5.	王辛平, 陈杰, 杜兴梅, 等. 云南省“直过民族”中老年人抑郁症状的相关因素. 中国心理卫生杂志, 2024, 38(8): 666-673.
6.	陈蕾, 伍成凯, 彭成, 等. 我国45岁以上中老年人慢性病与抑郁症状的关联研究. 医学与社会, 2021, 34(10): 90-94, 99.
7.	Zhao Y, Hu Y, Smith JP, et al. Cohort profile: the China Health and Retirement Longitudinal Study (CHARLS). Int J Epidemiol, 2014, 43(1): 61-68.
8.	Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med, 1994, 10(2): 77-84.
9.	Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, 1(3): 385-401.
10.	Chen H, Mui AC. Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China. Int Psychogeriatr, 2014, 26(1): 49-57.
11.	Cheng ST, Chan AC. The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. Int J Geriatr Psychiatry, 2005, 20(5): 465-470.
12.	Zhou P, Wang S, Yan Y, et al. Association between chronic diseases and depression in the middle-aged and older adult Chinese population-a seven-year follow-up study based on CHARLS. Front Public Health, 2023, 11: 1176669.
13.	李艳萍, 王媛, 纪之琳, 等. 中国≥45岁中老年人多重慢性病模式与日常和工具性日常生活活动能力残疾的关联性. 中华疾病控制杂志, 2024, 28(1): 26-31.
14.	Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA, 1963, 185: 914-919.
15.	Li D, Su M, Guo X, et al. The association between chronic disease and depression in middle-aged and elderly people: the moderating effect of health insurance and health service quality. Front Public Health, 2023, 11: 935969.
16.	Sun A, Liu Z. Association between relative grip strength and depression among U. S. middle-aged and older adults: results from the NHANES database. Front Public Health, 2024, 12: 1416804.
17.	Pengpid S, Peltzer K. Health risk behaviour and persistent and incident depression among middle-aged and older adults in South Africa. S Afr J Psychol, 2023, 53(1): 134-142.
18.	Jalali A, Ziapour A, Karimi Z, et al. Global prevalence of depression, anxiety, and stress in the elderly population: a systematic review and meta-analysis. BMC Geriatr, 2024, 24(1): 809.
19.	Wang Q, Tian W. Prevalence, awareness, and treatment of depressive symptoms among the middle-aged and elderly in China from 2008 to 2015. Int J Health Plann Manage, 2018, 33(4): 1060-1070.
20.	李海燕, 温淑媛, 陈喜梅, 等. 抑郁症患者病耻感水平现状及其相关影响因素分析. 中国当代医药, 2024, 31(8): 118-121.
21.	马达飞, 张蕾, 高翔, 等. 我国精神卫生服务资源情况及发展建议. 中国卫生人才, 2023, (1): 16-21.
22.	李莉, 王梦媛, 周波, 等. 四川省精神卫生资源状况及机构医疗服务能力评价. 医学与社会, 2024, 37(5): 75-80, 92.
23.	Boylan JM, Robert SA. Neighborhood SES is particularly important to the cardiovascular health of low SES individuals. Soc Sci Med, 2017, 188: 60-68.
24.	Ng CW, Tan WS, Gunapal PP, et al. Association of socioeconomic status (SES) and social support with depressive symptoms among the elderly in Singapore. Ann Acad Med Singap, 2014, 43(12): 576-587.
25.	唐彩云, 黄蓉, 王瑶, 等. 农村丧偶独居老年女性抑郁、孤独感与生活质量的关系. 中南大学学报(医学版), 2023, 48(12): 1865-1873.
26.	荣健, 戈艳红, 孟娜娜, 等. 2010~2019年中国老年人抑郁症患病率的Meta分析. 中国循证医学杂志, 2020, 20(1): 26-31.
27.	贾钰, 周紫彤, 曹学华, 等. 中国40~65岁女性围绝经期综合征发生率的Meta分析. 中国全科医学, 2023, 26(32): 4080-4088.
28.	Bi YH, Pei JJ, Hao C, et al. The relationship between chronic diseases and depression in middle-aged and older adults: a 4-year follow-up study from the China Health and Retirement Longitudinal Study. J Affect Disord, 2021, 289: 160-166.

1. 祝春素, 连至炜, 崔一民. 中国中老年人抑郁和慢性病的关联. 北京大学学报(医学版), 2023, 55(4): 606-611.
2. 周鹏飞, 杨孝光, 路强, 等. 中国农村老年人群抑郁症患病率的Meta分析. 中国循证医学杂志, 2024, 24(1): 36-42.
3. Yu Y, Hu M, Liu ZW, et al. Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study. BMC Psychiatry, 2016, 16: 93.
4. 郝萌萱, 尹孟凡, 夏笑清, 等. 1990年与2019年中国人群抑郁症疾病负担分析. 中国慢性病预防与控制, 2022, 30(8): 623-625.
5. 王辛平, 陈杰, 杜兴梅, 等. 云南省“直过民族”中老年人抑郁症状的相关因素. 中国心理卫生杂志, 2024, 38(8): 666-673.
6. 陈蕾, 伍成凯, 彭成, 等. 我国45岁以上中老年人慢性病与抑郁症状的关联研究. 医学与社会, 2021, 34(10): 90-94, 99.
7. Zhao Y, Hu Y, Smith JP, et al. Cohort profile: the China Health and Retirement Longitudinal Study (CHARLS). Int J Epidemiol, 2014, 43(1): 61-68.
8. Andresen EM, Malmgren JA, Carter WB, et al. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med, 1994, 10(2): 77-84.
9. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, 1(3): 385-401.
10. Chen H, Mui AC. Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China. Int Psychogeriatr, 2014, 26(1): 49-57.
11. Cheng ST, Chan AC. The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. Int J Geriatr Psychiatry, 2005, 20(5): 465-470.
12. Zhou P, Wang S, Yan Y, et al. Association between chronic diseases and depression in the middle-aged and older adult Chinese population-a seven-year follow-up study based on CHARLS. Front Public Health, 2023, 11: 1176669.
13. 李艳萍, 王媛, 纪之琳, 等. 中国≥45岁中老年人多重慢性病模式与日常和工具性日常生活活动能力残疾的关联性. 中华疾病控制杂志, 2024, 28(1): 26-31.
14. Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA, 1963, 185: 914-919.
15. Li D, Su M, Guo X, et al. The association between chronic disease and depression in middle-aged and elderly people: the moderating effect of health insurance and health service quality. Front Public Health, 2023, 11: 935969.
16. Sun A, Liu Z. Association between relative grip strength and depression among U. S. middle-aged and older adults: results from the NHANES database. Front Public Health, 2024, 12: 1416804.
17. Pengpid S, Peltzer K. Health risk behaviour and persistent and incident depression among middle-aged and older adults in South Africa. S Afr J Psychol, 2023, 53(1): 134-142.
18. Jalali A, Ziapour A, Karimi Z, et al. Global prevalence of depression, anxiety, and stress in the elderly population: a systematic review and meta-analysis. BMC Geriatr, 2024, 24(1): 809.
19. Wang Q, Tian W. Prevalence, awareness, and treatment of depressive symptoms among the middle-aged and elderly in China from 2008 to 2015. Int J Health Plann Manage, 2018, 33(4): 1060-1070.
20. 李海燕, 温淑媛, 陈喜梅, 等. 抑郁症患者病耻感水平现状及其相关影响因素分析. 中国当代医药, 2024, 31(8): 118-121.
21. 马达飞, 张蕾, 高翔, 等. 我国精神卫生服务资源情况及发展建议. 中国卫生人才, 2023, (1): 16-21.
22. 李莉, 王梦媛, 周波, 等. 四川省精神卫生资源状况及机构医疗服务能力评价. 医学与社会, 2024, 37(5): 75-80, 92.
23. Boylan JM, Robert SA. Neighborhood SES is particularly important to the cardiovascular health of low SES individuals. Soc Sci Med, 2017, 188: 60-68.
24. Ng CW, Tan WS, Gunapal PP, et al. Association of socioeconomic status (SES) and social support with depressive symptoms among the elderly in Singapore. Ann Acad Med Singap, 2014, 43(12): 576-587.
25. 唐彩云, 黄蓉, 王瑶, 等. 农村丧偶独居老年女性抑郁、孤独感与生活质量的关系. 中南大学学报(医学版), 2023, 48(12): 1865-1873.
26. 荣健, 戈艳红, 孟娜娜, 等. 2010~2019年中国老年人抑郁症患病率的Meta分析. 中国循证医学杂志, 2020, 20(1): 26-31.
27. 贾钰, 周紫彤, 曹学华, 等. 中国40~65岁女性围绝经期综合征发生率的Meta分析. 中国全科医学, 2023, 26(32): 4080-4088.
28. Bi YH, Pei JJ, Hao C, et al. The relationship between chronic diseases and depression in middle-aged and older adults: a 4-year follow-up study from the China Health and Retirement Longitudinal Study. J Affect Disord, 2021, 289: 160-166.

Chinese Journal of Evidence-Based Medicine

Latest ArticlesStudy on the prevalence of depression in the middle-aged and elderly population in China, regional differences and influencing factors

Abstract Full text Figures/Tables Video References Cited by

Format

Content