| Objectives: To understand the prevalence of geriatric depressive symptoms in rural areas of Anhui Province in the new era,analyse the influencing factors,and propose pertinently community intervention strategies.To provide scientific empirical reference and policy decision for improving grass-roots public health services and promoting healthy aging.Methods: Using the method of stratified random sampling,a total of 18 villages were selected from northern,central and southern of Anhui Province from July 2017 to April2018.According to the inclusion and exclusion criteria,3491 subjects were investigated with self-made general condition questionnaire,30-items Geriatric Depression Scale(GDS-30)and quality of life scale(EQ-5D).Epi Data 3.1 was used to establish the database and double input,and SPSS 25.0 software was employed for statistical analysis,including descriptive analysis,χ2 test,t test,univariate Logistic regression,multivariate Logistic regression and classification regression decision tree model(CART).Results: Finally,3349 older adults were included in the analysis,with an effective response rate of 95.93%.The main results are as follows:(1)General conditions:(1)demographic characteristics: 66.1% of the respondents were illiterate/semi-illiterate,64.1% had no occupational status,mainly living in not alone style,northern Anhui;(2)health status: 74.0% of the respondents suffered from one or more chronic diseases,and 63.5% of the respondents had physical discomfort within two weeks;(3)the main sources of income of families: farming(25.8%),migrant workers(26.9%)and self-employed or other(24.4%).(2)Overall situation of depressive symptoms and quality of life:(1)the average score of GDS-30 scale was 12.398 ± 7.089,and the prevalence of geriatric depressive symptoms was 52.91%.The utility score of EQ-5D scale was 0.713 ± 0.186.(3)The results of Logistic regression analysis of influencing factors:(1)compared with the reference group,female gender,higher age group,lower education level,unemployed status,poor families,northern Anhui,hospitalization experience within one year and physical discomfort within two weeks were the risk factors of depressive symptoms(P value < 0.05).(2)Higher EQ-5D score(the better the quality of life),the main family income from migrant workers and self-employed or other factors were protective factors for depressive symptoms of rural elderly(P value < 0.05).(3)Different living styles,whether suffering from chronic diseases,child support,the main source of income of families subsidized by government minimum security or five guarantees,and whether the family had people went out to work were not related to the risk of geriatric depressive symptoms(P value > 0.05).(4)The results of CART:(1)Those who had physical discomfort within two weeks is the primary influencing factor of depressive symptoms.(2)Those had physical discomfort within two weeks,and women and northern Anhui,the prevalence rate of depressive symptoms was the highest(74.6%).(3)Those had no physical discomfort within two weeks and non-poor households,and the prevalence rate of depressive symptoms in central/southern Anhui was the lowest(27.6%).Conclusions and suggestions: The prevalence of geriatric depressive symptoms in rural areas of Anhui Province is high,and it is affected by various factors.Those had physical discomfort within two weeks,and women and northern Anhui,were high-risk groups for depressive symptoms.At the community level,we should:(1)carry out knowledge education to prevent and alleviate the occurrence of depressive symptoms;(2)mobilize multi-party cooperation to establish and improve the community support environment;(3)select appropriate tools to regularly carry out depression screening and evaluation;(4)pay attention to the health of high-risk groups,improve the health level of the rural elderly,improve the health status of the rural elderly,effectively improve the mental health level,and promote the goal of healthy aging. |
PDF Full Text Request