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印度多病症老年患者抑郁症的农村和城市差异的分解:来自横截面研究的证据
Amiya Saha1, Bittu Mandal2, T Muhammad3
1Department of Family & Generations, International Institute for Population Sciences, Mumbai, 400088, India. amiyasaha4444@gmail.com.
BMC psychiatry
|January 23, 2024
概括
在印度,患有多种健康状况的农村老年人中,抑郁症更为普遍. 有针对性的干预措施对于解决农村和城市心理健康差异和改善福祉至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 在印度,患有多种健康状况 (多种疾病) 的老年人中抑郁症的患病率显示出显著的农村和城市差异.
- 获得医疗保健和文化因素有助于这些差异,突出了心理健康的不平等.
研究的目的:
- 调查印度农村地区与城市地区的多病症老年人中抑郁症的患病率和促成因素.
- 确定影响这些城乡差异的主要人口和社会经济决定因素.
主要方法:
- 利用了印度长度衰老研究 (LASI) 浪潮1 (2017-18年) 的数据.
- 包括7,608名年龄≥60岁的成年人,患有两种或多种慢性疾病.
- 采用描述性统计学,双变量分析,逻辑回归和费利分解.
主要成果:
- 与城市同行 (28.85%) 相比,农村老年人患有多重疾病的抑郁症患病率更高 (38.33%).
- 教育,种姓,日常生活活动中的残疾 (ADL) 和感知到的歧视等因素对农村和城市的差异作出了重大贡献.
- 残疾和种姓地位与抑郁症增加的可能性密切相关.
结论:
- 在患有多病症的老年印度人中,抑郁症存在显著的城乡差异.
- 有针对性的干预措施对于应对农村地区的挑战至关重要,包括资源有限和歧视.
- 政策和医疗保健策略必须专注于改善农村老年人多种并发症的心理健康.
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