Prevalence rate of depression in Chinese elderly from 2010 to 2019: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

RONG Jian , GE Yanhong , MENG Nana , XIE Tingting ,  DING Hong

School of Health Management, Anhui Medical University, Hefei, 230032, P.R.China;

Corresponding author：

DING Hong, Email: dinghong2003@126.com

Keywords：

Elderly; Depression; Prevalence; Meta-analysis; Systematical review; Cross-sectional study

DOI：

10.7507/1672-2531.201908088

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives To systematically review the prevalence of depression in the elderly in China.Methods PubMed, Web of Science, CBM, CNKI, WanFang Data and VIP databases were electronically searched to collect cross-sectional studies on the prevalence of depression of Chinese elderly from January 2010 to July 2019. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software.Results A total of 22 cross-sectional studies involving 12 656 patients were included. Meta-analysis showed that the overall prevalence of depression in Chinese elderly was 25.55% (95%CI 19.81% to 31.29%). Subgroup analysis showed that the prevalence of females was higher than that of males; the prevalence in the north was higher than that in the south; the prevalence in rural areas was higher than that in cities; the prevalence of CES-D assessment scale was higher than that of GDS-30; the prevalence of depression increased annually of data collection.Conclusion The prevalence of depression in the elderly (aged 60 years and above) in China is high. More attention should be paid to this situation and more psychological intervention should be provided to the elderly. Due to the limited quantity and quality of the included studies, more high-quality studies are required to verify the above conclusion.

Citation： RONG Jian, GE Yanhong, MENG Nana, XIE Tingting, DING Hong. Prevalence rate of depression in Chinese elderly from 2010 to 2019: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2020, 20(1): 26-31. doi: 10.7507/1672-2531.201908088 Copy

1.	国家统计局. 2018 年国民经济和社会发展统计公报. Available at: http://www.stats.gov.cn/tjsj/zxfb/201902/t20190228_1651265.html.
2.	Zhou Z, Zhou Z, Gao J, et al. Urban-rural difference in the associations between living arrangements and the health-related quality of life (HRQOL) of the elderly in China-Evidence from Shaanxi province. PLoS One, 2018, 13(9): e0204118.
3.	Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol, 2009, 5: 363-389.
4.	Taheri TP, Moradinazar M, Najafi F. Prevalence of depression and related social and physical factors amongst the Iranian elderly population in 2012. Geriatr Gerontol Int, 2017, 17(1): 126-131.
5.	王丽, 张晓. 我国农村老年人抑郁症状性别差异及影响因素研究. 中华疾病控制杂志, 2018, 22(11): 1148-1151.
6.	周晶晶. 农村老年人慢性疾病及抑郁研究. 南京: 东南大学, 2017.
7.	Wang H, Hai S, Liu Y, et al. Association between depressive symptoms and sarcopenia in older Chinese community-dwelling individuals. Clin Interv Aging, 2018, 13: 1605-1611.
8.	Wang G, Hu M, Xiao SY, et al. Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: a cross-sectional study. BMJ Open, 2017, 7(10): e016091.
9.	曾宪涛, 刘慧, 陈曦, 等. Meta 分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学志, 2012, 4(4): 297-299.
10.	王会兰, 杜雪平. 北京市月坛社区老年期抑郁障碍现况调查. 中华健康管理学杂志, 2010, 4(4): 203-205.
11.	张雄, 钟玉涛. 高寒地区老年抑郁症状心理社会影响因素调查研究. 吉林医学, 2011, 32(8): 1522-1523.
12.	Li YM, Chen CS, Tu HB, et al. Prevalence and risk factors for depression in older people in Xi’an China: a community-based study. Int J Geriatr Psychiatry, 2012, 27(1): 31-39.
13.	Tsai HH, Tsai YF. Prevalence and factors related to depressive symptoms among family caregivers of nursing home residents in Taiwan. Soc Psychiatry Psychiatr Epidemiol, 2013, 48(7): 1145-1152.
14.	Dong Q, Liu JJ, Zheng RZ, et al. Obesity and depressive symptoms in the elderly: a survey in the rural area of Chizhou, Anhui province. Int J Geriatr Psychiatry, 2013, 28(3): 227-232.
15.	陈美华. 社区老年抑郁障碍患者的中医护理. 按摩与康复医学, 2014, (9): 211-212.
16.	蔡彦, 杜慎华. 家庭功能对不同民族老年抑郁症发病率的影响. 中国煤炭工业医学杂志, 2014, 17(10): 1700-1702.
17.	刘启玲, 王志忠, 张颖, 等. 社区中老年人抑郁状况与血尿酸等生化指标的相关性调查. 海南医学, 2014, 25(3): 443-446.
18.	张芬, 黄冠颖, 庄伟强. 广州市海珠区部分社区老年人抑郁现状分析. 现代医院, 2014, 14(12): 141-143.
19.	许莉萍. 老年人抑郁与胆结石相关性分析. 中国社区医师, 2015, 31(31): 56-57.
20.	Hua Y, Wang B, Wallen GR, et al. Health-promoting lifestyles and depression in urban elderly Chinese. PLoS One, 2015, 10(3): e0117998.
21.	Xu Y, Yang J, Gao J, et al. Decomposing socioeconomic inequalities in depressive symptoms among the elderly in China. BMC Public Health, 2016, 16(1): 1214.
22.	曹裴娅, 罗会强, 侯利莎, 等. 中国 45 岁及以上中老年抑郁症状及影响因素研究. 四川大学学报(医学版), 2016, 47(5): 763-767.
23.	杨展, 陈饶, 胡晓, 等. 中国城乡老年人抑郁症状及其影响因素差异的分析. 中华流行病学杂志, 2017, 38(8): 1088-1093.
24.	程澹澹. 太原市养老机构老年人抑郁症状的护理干预研究. 太原: 山西医科大学, 2017.
25.	画妍, 郑晓莉, 化前珍, 等. 社会支持与养老机构老年人抑郁情绪的相关性. 中国健康心理学杂志, 2017, 25(8): 1180-1183.
26.	钟文仙, 黎经晖, 白晓丹, 等. 佛山市顺德地区老年人抑郁状况及其相关因素分析研究. 黑龙江医学, 2017, (10): 75-76.
27.	董淑慧, 孙喜蓉, 王涛, 等. 社区老年人抑郁症状的调查与分析. 内科理论与实践, 2018, 13(3): 43-47.
28.	Fang M, Chen J, Guo L, et al. Gender differences in geriatric depressive symptoms in rural China: the role of physical housing environments and living arrangements. Int J Environ Res Public Health, 2019, 16(5): E774.
29.	刘宏军, 王淳秀, 关绍晨, 等. 北京地区老年人抑郁症状筛查检出率及影响因素的横断面调查. 中华保健医学杂志, 2019, 21(3): 207-211.
30.	赵全军. 社区老年人抑郁症状及影响因素分析. 心理月刊, 2019, 14(12): 24-25.
31.	Li XD, Cao HJ, Xie SY, et al. Adhering to a vegetarian diet may create a greater risk of depressive symptoms in the elderly male Chinese population. J Affect Disord, 2019, 243: 182-187.
32.	Li D, Zhang DJ, Shao JJ, et al. A meta-analysis of the prevalence of depressive symptoms in Chinese older adults. Arch Gerontol Geriatr, 2014, 58(1): 1-9.
33.	张玲, 徐勇, 聂宏伟. 2000-2010 年中国老年人抑郁症患病率的meta分析. 中国老年学杂志, 2011, 31(17): 3349-3352.
34.	Mjelde-Mossey LA, Chi I, Lou VW. Relationship between adherence to tradition and depression in Chinese elders in China. Aging Ment Health, 2006, 10(1): 19-26.
35.	Lim LL, Chang WN, Yu X, et al. Depression in Chinese elderly populations. Asia-Pacific Psychiatry, 2011, 3(2): 46-53.
36.	Bossola M, Di Stasio E, Antocicco M, et al. Functional impairment is associated with an increased risk of mortality in patients on chronic hemodialysis. BMC Nephrol, 2016, 17(1): 72.
37.	Zhou W, He G, Gao J, et al. The effects of group reminiscence therapy on depression, self-esteem, and affect balance of Chinese community-dwelling elderly. Arch Gerontol Geriatr, 2012, 54(3): e440-e447.
38.	寇小君, 龚传鹏, 刘修军, 等. 武汉市社区老年人群焦虑, 抑郁现况及影响因素. 中国老年学杂志, 2018, 38(10): 2529-2531.
39.	Chen R, Hu Z, Qin X, et al. A community-based study of depression in older people in Hefei, China-the GMS-AGECAT prevalence, case validation and socio-economic correlates. Int J Geriatr Psychiatry, 2004, 19(5): 407-413.

1. 国家统计局. 2018 年国民经济和社会发展统计公报. Available at: http://www.stats.gov.cn/tjsj/zxfb/201902/t20190228_1651265.html.
2. Zhou Z, Zhou Z, Gao J, et al. Urban-rural difference in the associations between living arrangements and the health-related quality of life (HRQOL) of the elderly in China-Evidence from Shaanxi province. PLoS One, 2018, 13(9): e0204118.
3. Fiske A, Wetherell JL, Gatz M. Depression in older adults. Annu Rev Clin Psychol, 2009, 5: 363-389.
4. Taheri TP, Moradinazar M, Najafi F. Prevalence of depression and related social and physical factors amongst the Iranian elderly population in 2012. Geriatr Gerontol Int, 2017, 17(1): 126-131.
5. 王丽, 张晓. 我国农村老年人抑郁症状性别差异及影响因素研究. 中华疾病控制杂志, 2018, 22(11): 1148-1151.
6. 周晶晶. 农村老年人慢性疾病及抑郁研究. 南京: 东南大学, 2017.
7. Wang H, Hai S, Liu Y, et al. Association between depressive symptoms and sarcopenia in older Chinese community-dwelling individuals. Clin Interv Aging, 2018, 13: 1605-1611.
8. Wang G, Hu M, Xiao SY, et al. Loneliness and depression among rural empty-nest elderly adults in Liuyang, China: a cross-sectional study. BMJ Open, 2017, 7(10): e016091.
9. 曾宪涛, 刘慧, 陈曦, 等. Meta 分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学志, 2012, 4(4): 297-299.
10. 王会兰, 杜雪平. 北京市月坛社区老年期抑郁障碍现况调查. 中华健康管理学杂志, 2010, 4(4): 203-205.
11. 张雄, 钟玉涛. 高寒地区老年抑郁症状心理社会影响因素调查研究. 吉林医学, 2011, 32(8): 1522-1523.
12. Li YM, Chen CS, Tu HB, et al. Prevalence and risk factors for depression in older people in Xi’an China: a community-based study. Int J Geriatr Psychiatry, 2012, 27(1): 31-39.
13. Tsai HH, Tsai YF. Prevalence and factors related to depressive symptoms among family caregivers of nursing home residents in Taiwan. Soc Psychiatry Psychiatr Epidemiol, 2013, 48(7): 1145-1152.
14. Dong Q, Liu JJ, Zheng RZ, et al. Obesity and depressive symptoms in the elderly: a survey in the rural area of Chizhou, Anhui province. Int J Geriatr Psychiatry, 2013, 28(3): 227-232.
15. 陈美华. 社区老年抑郁障碍患者的中医护理. 按摩与康复医学, 2014, (9): 211-212.
16. 蔡彦, 杜慎华. 家庭功能对不同民族老年抑郁症发病率的影响. 中国煤炭工业医学杂志, 2014, 17(10): 1700-1702.
17. 刘启玲, 王志忠, 张颖, 等. 社区中老年人抑郁状况与血尿酸等生化指标的相关性调查. 海南医学, 2014, 25(3): 443-446.
18. 张芬, 黄冠颖, 庄伟强. 广州市海珠区部分社区老年人抑郁现状分析. 现代医院, 2014, 14(12): 141-143.
19. 许莉萍. 老年人抑郁与胆结石相关性分析. 中国社区医师, 2015, 31(31): 56-57.
20. Hua Y, Wang B, Wallen GR, et al. Health-promoting lifestyles and depression in urban elderly Chinese. PLoS One, 2015, 10(3): e0117998.
21. Xu Y, Yang J, Gao J, et al. Decomposing socioeconomic inequalities in depressive symptoms among the elderly in China. BMC Public Health, 2016, 16(1): 1214.
22. 曹裴娅, 罗会强, 侯利莎, 等. 中国 45 岁及以上中老年抑郁症状及影响因素研究. 四川大学学报(医学版), 2016, 47(5): 763-767.
23. 杨展, 陈饶, 胡晓, 等. 中国城乡老年人抑郁症状及其影响因素差异的分析. 中华流行病学杂志, 2017, 38(8): 1088-1093.
24. 程澹澹. 太原市养老机构老年人抑郁症状的护理干预研究. 太原: 山西医科大学, 2017.
25. 画妍, 郑晓莉, 化前珍, 等. 社会支持与养老机构老年人抑郁情绪的相关性. 中国健康心理学杂志, 2017, 25(8): 1180-1183.
26. 钟文仙, 黎经晖, 白晓丹, 等. 佛山市顺德地区老年人抑郁状况及其相关因素分析研究. 黑龙江医学, 2017, (10): 75-76.
27. 董淑慧, 孙喜蓉, 王涛, 等. 社区老年人抑郁症状的调查与分析. 内科理论与实践, 2018, 13(3): 43-47.
28. Fang M, Chen J, Guo L, et al. Gender differences in geriatric depressive symptoms in rural China: the role of physical housing environments and living arrangements. Int J Environ Res Public Health, 2019, 16(5): E774.
29. 刘宏军, 王淳秀, 关绍晨, 等. 北京地区老年人抑郁症状筛查检出率及影响因素的横断面调查. 中华保健医学杂志, 2019, 21(3): 207-211.
30. 赵全军. 社区老年人抑郁症状及影响因素分析. 心理月刊, 2019, 14(12): 24-25.
31. Li XD, Cao HJ, Xie SY, et al. Adhering to a vegetarian diet may create a greater risk of depressive symptoms in the elderly male Chinese population. J Affect Disord, 2019, 243: 182-187.
32. Li D, Zhang DJ, Shao JJ, et al. A meta-analysis of the prevalence of depressive symptoms in Chinese older adults. Arch Gerontol Geriatr, 2014, 58(1): 1-9.
33. 张玲, 徐勇, 聂宏伟. 2000-2010 年中国老年人抑郁症患病率的meta分析. 中国老年学杂志, 2011, 31(17): 3349-3352.
34. Mjelde-Mossey LA, Chi I, Lou VW. Relationship between adherence to tradition and depression in Chinese elders in China. Aging Ment Health, 2006, 10(1): 19-26.
35. Lim LL, Chang WN, Yu X, et al. Depression in Chinese elderly populations. Asia-Pacific Psychiatry, 2011, 3(2): 46-53.
36. Bossola M, Di Stasio E, Antocicco M, et al. Functional impairment is associated with an increased risk of mortality in patients on chronic hemodialysis. BMC Nephrol, 2016, 17(1): 72.
37. Zhou W, He G, Gao J, et al. The effects of group reminiscence therapy on depression, self-esteem, and affect balance of Chinese community-dwelling elderly. Arch Gerontol Geriatr, 2012, 54(3): e440-e447.
38. 寇小君, 龚传鹏, 刘修军, 等. 武汉市社区老年人群焦虑, 抑郁现况及影响因素. 中国老年学杂志, 2018, 38(10): 2529-2531.
39. Chen R, Hu Z, Qin X, et al. A community-based study of depression in older people in Hefei, China-the GMS-AGECAT prevalence, case validation and socio-economic correlates. Int J Geriatr Psychiatry, 2004, 19(5): 407-413.

Chinese Journal of Evidence-Based Medicine

Prevalence rate of depression in Chinese elderly from 2010 to 2019: a meta-analysis

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