Abstract
BackgroundThe aim of the current study is to assess the cross-sectional association of chronic non-communicable diseases (hypertension, diabetes mellitus, arthritis, and cerebrovascular) with depressive symptoms among older adults in China.MethodsData was obtained from the China Longitudinal Ageing Social Survey (CLASS) conducted in 2014. A total of 7505 participants were included. Depressive symptoms status was assessed by 9-item Center for Epidemiological Studies Depression Scale (CES-D) Associations between depressive symptoms and chronic diseases, adjusting for so, demographics and chronic diseases risk factors were assessed by using logistic regression model.ResultsWe found negative associations between depressive symptoms and several socioeconomic factors, including education attainment and economic level. Widowed/divorced/ unmarried individuals are more likely to suffer from depressive symptoms. Hypertension (Odds ratio:1.29 [95%CI:1.16, 1.42]), diabetes (1.41 [95%CI:1.19,1.67]), arthritis (1.72 [1.52, 1.96]), and cerebrovascular disease (1.69 [1.41, 2.02]) were found to be associated with depressive symptoms.ConclusionsMost depressive symptoms cases were found to be significantly associated with chronic diseases. Our findings have provided evidence for understanding co-morbid depressive symptoms with chronic diseases, which could help clinicians to evaluate, diagnose and manage depression promptly.
Highlights
IntroductionThe aim of the current study is to assess the cross-sectional association of chronic non-communicable diseases (hypertension, diabetes mellitus, arthritis, and cerebrovascular) with depressive symptoms among older adults in China
The aim of the current study is to assess the cross-sectional association of chronic non-communicable diseases with depressive symptoms among older adults in China
Setting and sample In the current study, we used the data from the baseline of the Chinese Longitudinal Ageing Social Survey (CLASS) that was collected by the National Survey Research Center, Renmin University of China
Summary
The aim of the current study is to assess the cross-sectional association of chronic non-communicable diseases (hypertension, diabetes mellitus, arthritis, and cerebrovascular) with depressive symptoms among older adults in China. People with depression are usually associated with low quality of life, prevalence of cancer, chronic diseases, and higher mortality [4]. In China, the prevalence of depression had aggressively increased to 17% among the elderly population [7, 8]. A number of studies suggested that there was an inverse or U-shaped association between prevalence of depression and age [9,10,11]. Many studies found that low education level is associated with a high risk of depression in China [14, 15]
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