Urban and Rural Residents' Depression and Its Influencing Factors in Chengdu City: A Status-quo Survey_Chinese Journal of Evidence-Based Medicine

Authors：

 WANGWei-wen ¹ , YANGZhi-yi ¹ , WUBo-yang ² , WANGXin ³ , RENChang-jiu ⁴ , DENGWen-qing ⁴ , LIAOXiao-yang ²

1. Department of Neurology, Chengdu Military General Hospital, Chengdu 610083, China;
2. Department of General Medicine, West China Hospital, Sichuan University, Chengdu 610041, China;
3. Communality Health Service Center of Jian-she Road, Chengdu 610051, China;
4. Cai Town Hospital of Dayi County, Chengdu 611300, China;

Corresponding author：

Keywords：

Depression; Urban and rural area; Screen; Patient Health Questionnaire-2; Influencing factor; Chengdu

DOI：

10.7507/1672-2531.20140173

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Objective To investigate the status-quo of urban and rural residents' depression in the communities of Chengdu city and its influencing factors. Methods A multi-stage stratified cluster sampling survey was carried out from February to October 2010. Residents aged from 35 to 70 years in 4 urban and rural communities of Chengdu were investigated in the incidence of depression. The health survey questionnaire and PHQ-2 Depression Screening Scale were used for the household investigation. Data was analyzed using SPSS 18.0 software, and the risk factors were also analyzed using multivariate logistic methods. Results A total of 2 027 residents were interviewed, including 1 015 urban (616 women and 399 men, with mean age of 58.90 ±9.48 years) and 1 012 rural residents (582 women and 430 were men, with mean age of 54.94 ±9.64 years). The results showed that the overall depression prevalence rate of residents aged from 35 to70 years old in Chengdu was 2.91% (59/2 027); and the prevalence was 4.33% (44/1 015) in urban and 1.48% (15/1 012) in rural. The prevalence was significantly higher in urban areas than that in rural areas (χ²=13.296, P < 0.001). The results of multivariate analysis showed that a significant difference was found in the prevalence of depression among the different marital status groups, and more divorced people suffered from depression. No statistically significant correlation was found between the factors (including occupation, education level and family income status) and depression. Conclusion The prevalence of depression among residents in urban and rural communities of Chengdu was high, and the divorced population should be paid more attention to in the prevention and treatment of depression.

Citation： WANGWei-wen, YANGZhi-yi, WUBo-yang, WANGXin, RENChang-jiu, DENGWen-qing, LIAOXiao-yang. Urban and Rural Residents' Depression and Its Influencing Factors in Chengdu City: A Status-quo Survey. Chinese Journal of Evidence-Based Medicine, 2014, 14(9): 1048-1051. doi: 10.7507/1672-2531.20140173 Copy

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2.	Pignone MP, Gaynes BN, Rushton JL, et al. Screening for depression in adults:a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med, 2002, 136(10):765-776.
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4.	Arroll B, Khin N, Kerse N. Screening for depression in Primary care with two verbally asked questions. BMJ, 2003, 327(7424):1144-1146.
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8.	Connor EA, Whitlock EP, Gaynes B, et al. Screening for depression in adults and older adults in primary care. AHRQ, 2009, Report No.10-05143-EF-1.
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12.	孙永发, 惠文, 吴华章.精神卫生人力资源存在的问题及其政策分析.卫生经济研究, 2012, 29(2):23-25.
13.	刘冬莹.对全科医生开展系统心理卫生知识与技能培训的可行性研究.中国全科医学, 2011, 14(1):13-14.
14.	Williams M, Clouse R, Lustman P. Treating depression to prevent diabetes and its complications:understanding depression as a medical risk factor. Clin Diabetes, 2006, 24(2):79-86.
15.	Moussavi S, Somnath C, Verdes E, et al. Depression, chronic diseases, and decrements in health:results from the World Health Surveys. Lancet, 2007, 370(9590):851-858.
16.	Charles JE, Britt H, Fahridin S, et al. Mental health in general practices. Australia Family Physician, 2007, 36(3):200-201.
17.	周仲华, 黄文娟, 金世红.综合医院全科医疗门诊中精神心理障碍的患病率及诊疗情况研究.中国全科医学, 2012, 15(9A):2942-2945.
18.	常向东, 陈勇, 金霞芳, 等.心理卫生进社区对居民心理障碍防治的作用研究.中国全科医学, 2012, 15(5):1539-1541.
19.	Yu XN, Stewart SM, Wong PTK, et al. Screening for depression with the Patient Health Questionnaire-2 (PHQ-2) among the general population in Hong Kong. J Affect Disord, 2011, 134(1-3):444-446.
20.	王金荣, 王德平, 沈渔邨, 等.中国七个地区情感性精神障碍流行病学调查.中华精神科杂志, 1998, 31(2):75-77.
21.	马辛, 李淑然, 向应强, 等.北京市抑郁症的患病率调查.中华精神科杂志, 2007, 40(2):100-103.
22.	崔利军, 栗克清, 江琴普, 等.河北省2004-2005年抑郁症的现况调查.中华精神科杂志, 2007, 40(3):140-143.
23.	马启民, 李喜泼, 张海燕, 等.保定市精神障碍流行病学调查.中国全科医学, 2008, 11(3):522-526.
24.	冯启明, 罗红叶, 韦波, 等.广西壮族自治区城市社区居民抑郁症流行病学特征研究.中国全科医学, 2012, 15(11A):3660-3662.

1. Maurer DM. Screening for depression. Am Fam Physician, 2012, 85(2):139-144.
2. Pignone MP, Gaynes BN, Rushton JL, et al. Screening for depression in adults:a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med, 2002, 136(10):765-776.
3. Gilbody SM, House AO, Shledon TA. Routinely administered questionnaires for Depression and anxiety:systematic review. BMJ, 2001, 322(7283):406-409.
4. Arroll B, Khin N, Kerse N. Screening for depression in Primary care with two verbally asked questions. BMJ, 2003, 327(7424):1144-1146.
5. 周淑新, 李尔曼.筛查抑郁症.中国全科医学, 2012, 15(11A):3575-3577.
6. Williams LS, Brizendine EJ, Plue L, et al. Performance of the PHQ-9 as a screening tool for depression after stroke. Stroke, 2005, 36(3):635-638.
7. Turner A, Hambridge EJ, White J, et al. Depression screening in stroke:a comparison of alternative measures with the structured diagnostic interview for the diagnostic and statistical manual of mental disorders, fourth edition (major depressive episode) as criterion standard. Stroke, 2012, 43(4):1000-1005.
8. Connor EA, Whitlock EP, Gaynes B, et al. Screening for depression in adults and older adults in primary care. AHRQ, 2009, Report No.10-05143-EF-1.
9. 李献云, 王志青, 费立鹏.社区人群精神障碍患病率调查方法.中国心理卫生杂志, 2010, 24(3):191-194.
10. 廖震华, 丁丽君, 温程.我国60年精神障碍流行病学调查研究现状.中国全科医学, 2012, 15(4):1160-1162.
11. World Health Organization. The global burden of disease:2004 update. WHO Library Cataloguing-in-publication Data, 2008:36.
12. 孙永发, 惠文, 吴华章.精神卫生人力资源存在的问题及其政策分析.卫生经济研究, 2012, 29(2):23-25.
13. 刘冬莹.对全科医生开展系统心理卫生知识与技能培训的可行性研究.中国全科医学, 2011, 14(1):13-14.
14. Williams M, Clouse R, Lustman P. Treating depression to prevent diabetes and its complications:understanding depression as a medical risk factor. Clin Diabetes, 2006, 24(2):79-86.
15. Moussavi S, Somnath C, Verdes E, et al. Depression, chronic diseases, and decrements in health:results from the World Health Surveys. Lancet, 2007, 370(9590):851-858.
16. Charles JE, Britt H, Fahridin S, et al. Mental health in general practices. Australia Family Physician, 2007, 36(3):200-201.
17. 周仲华, 黄文娟, 金世红.综合医院全科医疗门诊中精神心理障碍的患病率及诊疗情况研究.中国全科医学, 2012, 15(9A):2942-2945.
18. 常向东, 陈勇, 金霞芳, 等.心理卫生进社区对居民心理障碍防治的作用研究.中国全科医学, 2012, 15(5):1539-1541.
19. Yu XN, Stewart SM, Wong PTK, et al. Screening for depression with the Patient Health Questionnaire-2 (PHQ-2) among the general population in Hong Kong. J Affect Disord, 2011, 134(1-3):444-446.
20. 王金荣, 王德平, 沈渔邨, 等.中国七个地区情感性精神障碍流行病学调查.中华精神科杂志, 1998, 31(2):75-77.
21. 马辛, 李淑然, 向应强, 等.北京市抑郁症的患病率调查.中华精神科杂志, 2007, 40(2):100-103.
22. 崔利军, 栗克清, 江琴普, 等.河北省2004-2005年抑郁症的现况调查.中华精神科杂志, 2007, 40(3):140-143.
23. 马启民, 李喜泼, 张海燕, 等.保定市精神障碍流行病学调查.中国全科医学, 2008, 11(3):522-526.
24. 冯启明, 罗红叶, 韦波, 等.广西壮族自治区城市社区居民抑郁症流行病学特征研究.中国全科医学, 2012, 15(11A):3660-3662.

Chinese Journal of Evidence-Based Medicine

Urban and Rural Residents' Depression and Its Influencing Factors in Chengdu City: A Status-quo Survey

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