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November 8, 2023Journal of Affective Disorders51 citationsOpen Access

Prevalence and factors associated with depression and anxiety among older adults: A large-scale cross-sectional study in China

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ZHZhen-fan HeWTWenyan TanHMHuilin Ma

Key Result

The weighted prevalence of depression and anxiety among older adults in China was 2.79% and 1.39%, respectively, with higher risks linked to female sex, widowhood, and chronic diseases.

Study Design

Type

Cross-Sectional (n=8,436)

Multicenter

Yes

Structured PICO

What is the prevalence and what are the factors associated with depression and anxiety among older adults in China?

P
Population
8,436 older adults in China assessed for depression and anxiety using standardized instruments.
O
Outcome
Prevalence of depression (assessed via Patient Health Questionnaire 9) and anxiety (assessed via Generalized Anxiety Disorder 7)patient reported

The prevalence of depression and anxiety among older adults in China is 2.79% and 1.39%, respectively, with higher risk associated with female sex, widowhood, irregular diet, low social/electronic engagement, high sedentary behavior, and chronic diseases.

Abstract

BACKGROUND: To determine the prevalence of depression and anxiety among older adults in China, and explore the associated factors. METHODS: This cross-sectional study recruited participants between October 2022 and December 2022. The sample collection utilized a multi-stage stratified equal probability random sampling method. This study included 8436 older adults who underwent interviews utilizing standardized assessment instruments. The assessment of depressive symptoms employed the Patient Health Questionnaire 9, while the evaluation of anxiety utilized the Generalized Anxiety Disorder 7. Multivariate logistic regression was conducted to determine the odds ratio and 95 % confidence interval (CI). RESULTS: The weighted prevalence rates for depression and anxiety were 2.79 % (95 % CI: 2.38 %-3.28 %) and 1.39 % (95 % CI: 1.12 %-1.74 %), respectively. Older adults who were female, widowed, had irregular dietary habits, spent 8 h of sedentary behavior per day, and had chronic diseases (cardiovascular disease, cerebrovascular disease, insomnia, and Chronic gastroenteritis) displayed a higher likelihood of encountering symptoms indicative of depression and anxiety. Conversely, older adults living in rural areas and those who walked daily were less prone to experience symptoms of depression and anxiety. CONCLUSIONS: This study suggests that the psychological well-being of older adults should be cared for when treating chronic diseases. Moreover, families, communities, and clinics should recognize that supporting regular diets, providing social engagement and recreational activities, encouraging physical activity, and minimizing sedentary behavior can reduce the risk of depression and anxiety.

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Cite This Study

He et al. (2023) conducted a cross-sectional in Depression and anxiety (n=8,436). Sociodemographic, lifestyle, and clinical risk factors vs. Reference groups without these risk factors was evaluated on Prevalence of depression and anxiety. The weighted prevalence of depression and anxiety among older adults in China was 2.79% and 1.39%, respectively, with higher risks linked to female sex, widowhood, and chronic diseases.

synapsesocial.com/papers/6a747b080081fe7b05dbd6a6https://doi.org/10.1016/j.jad.2023.11.022
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