中国老年人自杀念头的流行病学特征基于分析
Yu Wu1, Binbin Su1, Yihao Zhao1
1Department of Population Health and Aging Science, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 31, Road 3, Bei-Ji-Ge, Dongcheng District, Beijing, 100730, China.
BMC psychiatry
|August 17, 2024
概括
自杀念头 (SI) 影响了超过11%的中国老年人,患病率随着时间的推移而增加,并因地区和健康因素而异. 针对性干预对于这个脆弱的人群至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在中国的老年人中,自杀念头 (SI) 呈现出显著的变化.
- 现有的研究缺乏对这一人口群体中SI流行率和相关因素的综合了解.
研究的目的:
- 进行元分析,以澄清中国老年人群中SI的流行病学特征.
- 在这个人口群体中确定与SI相关的关键因素.
主要方法:
- 在2022年9月15日之前,对英语和中文数据库进行系统搜索.
- 对31项涉及79861名参与者的横截面研究的元分析.
- 计算相关因素的聚合流行率和赔率比率 (ORs).
主要成果:
- SI的综合流行率为11.47%,具有显著的异质性.
- 患病率从7.85% (2001-2010年) 增加到15.59% (2011-2020年) 的时间.
- 地区差异指出:在东部 (8.06%) 与中部/西部 (16.97%) 的发病率较低.
- 居住地,身体/精神健康和经济地位等因素显著影响SI.
- 14个因子显示了显著的聚合OR>1,两个因子的OR<1 (p<0.05).
结论:
- 在中国的老年人中,SI相对普遍,具有相当大的异质性.
- 调查结果强调了针对性干预和标准化的时间评估的必要性,以减轻自杀风险.
- 解决身体健康,心理健康和社会经济因素至关重要.
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