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挪威老年人的抑郁症1995-2019:人口研究中的时间趋势,相关性和未来预测:HUNT研究
Maria Lage Barca1,2,3,1, Eivind Aakhus1, Ellen Melbye Langballe1,2
1The Norwegian National Centre for Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
PloS one
|July 31, 2025
概括
挪威老年人的抑郁率已经下降,但孤独仍然是一个危险因素. 尽管患病率正在下降,但由于人口老龄化,预计到2050年,抑郁症老年人的总数将翻一番.
科学领域:
- 老年学与公共卫生
- 在老龄人口中心理健康的流行病学.
背景情况:
- 调查老年人的抑郁趋势对于公共卫生规划至关重要.
- 了解抑郁症的相关因素,如孤独感,可以为有针对性的干预提供信息.
研究的目的:
- 从1995年到2019年,对挪威70岁及以上成年人的抑郁模式和相关因素进行研究.
- 预测到2050年,该人口群体中抑郁症的未来流行率.
主要方法:
- 一项基于人口的横截面研究,利用了来自三项特伦德拉格健康研究调查 (HUNT2,HUNT3,HUNT4) 的数据.
- 分析包括22,822名70岁以上的参与者;抑郁症由医院焦虑和抑郁量表得分 (≥8) 定义.
- 后勤回归被用来识别包括孤独在内的预测因素,流行率根据年龄,性别和教育标准化.
主要成果:
- 标准化抑郁症患病率从1995年的16.7%下降到2017-19年的11.5%.
- 在男性,老年人 (85岁以上),受教育程度较低的个人和报告孤独感的人群中观察到更高的抑郁率.
- 尽管抑郁率下降,但由于人口老龄化,预计到2050年抑郁症老年人的总数将增加一倍.
结论:
- 虽然挪威老年人中抑郁症的发病率有所下降,但老年人口的增加将导致绝对病例数的显著增加.
- 孤独是关键的相关因子,解决它可能会降低抑郁症的流行率.
- 预计老年人抑郁症的增加是一个重大挑战,需要采取积极的公共卫生战略.
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