研究居住在中国广东省人口众多且城市化迅速的成年人中抑郁和焦虑症状的患病率和健康状况。
广东省睡眠和心身健康调查于2019年9月至11月进行,这是一项基于人群的研究,对18-85岁的成年人进行了代表性样本。采用多阶段分层整群抽样。总共纳入了13768名居民,并使用标准化评估工具进行了面对面的采访。使用患者健康问卷(PHQ-9)和广义焦虑障碍量表(GAD-7)评估抑郁和焦虑症状,分别。
抑郁和焦虑症状的加权患病率分别为8.6%(95%置信区间[CI]:8.0%-9.3%)和6.0%(95CI,5.4%-6.5%)。从未结过婚的人,不规则的饮食节奏,几乎不锻炼,睡眠不好,酒精消费,慢性疾病以及失业和退休更容易出现抑郁和焦虑症状。此外,抑郁症状的患病率在患有心血管疾病的人群中明显更高(赔率[OR]:3.89,95CI:1.77-8.54),慢性肾病(OR:3.89,95CI:1.52-9.94),高脂血症(OR:2.68,95CI:1.57-4.59),贫血(OR:1.96,95CI:1.33-2.89)和关节炎(OR:1.93,95CI:1.17-3.16)。在心血管疾病患者中,焦虑症状的患病率明显更高(OR:3.15,95CI:1.39-7.14),慢性肾病(OR:2.89,95CI:1.22-6.83),高脂血症(OR:2.27,95CI:1.20-4.29)和糖尿病(OR:1.99,95CI:1.15-3.44)。
抑郁和焦虑症状常见于慢性病患者。鉴于这些对健康的不利结果,卫生专业人员应在高危人群的医疗保健中更加关注抑郁和焦虑问题。
To examine the prevalence and health correlates of depressive and anxiety symptoms among adults living in Guangdong province of
China with a large population and rapid urbanization.
The Guangdong Sleep and Psychosomatic Health Survey was conducted from September to November in 2019, which was a population-based study with a representative sample of adults aged 18-85 years. Multistage stratified cluster sampling was used. A total of 13,768 inhabitants were included and face-to-face interviewed using standardized assessment tools. Depressive and anxiety symptoms were evaluated using the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7), respectively.
The weighted prevalence rates of depressive and anxiety symptoms were 8.6% (95% confidence interval [CI]: 8.0%-9.3%) and 6.0% (95%CI, 5.4%-6.5%) respectively. People who have never married, irregular diet rhythm, hardly exercise, poorer sleep, alcohol consumption, chronic diseases and being unemployment and retirement were more likely to suffer depressive and anxiety symptoms. Moreover, the prevalence of depressive symptoms was significantly higher in those suffering from cardiovascular disease (Odds ratio[OR]:3.89, 95%CI: 1.77-8.54), chronic
nephrosis (OR:3.89, 95%CI: 1.52-9.94), hyperlipidemia (OR:2.68, 95%CI: 1.57-4.59), anemia (OR:1.96, 95%CI: 1.33-2.89) and arthritis (OR:1.93, 95%CI: 1.17-3.16). The prevalence of anxiety symptoms was evidently greater within patients with cardiovascular disease (OR:3.15, 95%CI: 1.39-7.14), chronic
nephrosis (OR: 2.89, 95%CI: 1.22-6.83), hyperlipidemia (OR:2.27, 95%CI: 1.20-4.29) and diabetes (OR:1.99, 95%CI: 1.15-3.44).
Depressive and anxiety symptoms are commonly found in patients with chronic diseases. Given these adverse outcomes on health, health professionals should pay more attention to depressive and anxiety problems in health care for high-risk population.