2000-2012年中国社区人群老年期抑郁情绪检出率--系统综述和更新的meta分析

Detection rate of depression among community-dwelling older adults in China:A systematic review and updated meta-analysis of studies in 2000-2012

目的：探讨2000-2012年中国社区60岁及以上人群老年期抑郁情绪检出率的时间、地区和人群分布特征.方法：通过系统检索CBM、CMCC、CNKI、VIP、万方、PubMed、MEDLINE、EMBASE、Cochrane图书馆等中英文数据库,在张玲等已发表2000-2010中国老年人抑郁检出率的meta分析基础上,纳入2011-2012年有关中国老年期抑郁流行病学的调查研究,提取meta分析原有结果和2011-2012纳入研究的原始数据,根据异质性检验结果,采用随机效应模型对数据进行合并分析.结果：研究补充纳入2011-2012年文献15篇.2000-2012年中国社区人群中,老年期抑郁情绪检出率的合并值为22.8％（95％CI：19.5％～26.2％）,2000-2012老年期抑郁障碍患病率为17.2％ （95％CI：10.6％～23.8％）.13年间,抑郁情绪检出率缓慢上升,中间略有波动.在纳入研究的18个省份中,我国西部地区高于中、东部地区,农村高于城市;女性高于男性;老年期抑郁情绪检出率不随年龄增长而升高、文盲高于受教育者、独身高于在婚人群;不同量表结果有所不同.结论：在过去13年里,老年期抑郁情绪检出率较高.地处西部地区或农村地区老年期抑郁情绪检出率高,女性检出率可能高于男性.

Objectives：To analyze the distributions characteristics by time,place and people characters of detection rate of depression among the community-dwelling elderly in China from 2000 to 2012.Methods：Detection rate investigations on senile depression in China published in journals and covering the period from 2011 to 2012 were identified manually and online by using CBM,CMCC,CNKI,VIP,and Wanfang databases.Those reported in English journals were identified using PubMed,MEDLINE,EMBASE and the Cochrane library.The selected studies from 2011 to 2012 were included to analyze data based on the published meta-analysis of the detection rate of depressive symptoms among the elderly in China written by ZHANG Ling,et al.The random effects model was employed according to statistical test of homogeneity.Results：Fifteen studies from 2011 to 2012 were selected,and the statistical information of which was collected for systematic analysis.The pooled detection rate of depression among community-dwelling elderly was 22.4% （95% CI：19.3%-25.6%）,while the pooled prevalence of depressive disorder among community-dwelling elderly was 17.2% （95% CI：10.6%-23.8%）.The detection rate of senile depression had been slowly increased over the past 13 years.In the 18 investigated provinces,the detection rate was higher in western China and rural areas.There was a higher detection rate of senile depression in those who were female,alone and illiterate.The results from different scale were diverse.Conclusions：The detection rate of senile depression may be higher in the past 13 years.The detection rate may be higher in western region and rural areas,and higher in females than in males.