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.
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, 李爾曼.篩查抑郁癥.中國全科醫學, 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.
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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.	孫永發, 惠文, 吳華章.精神衛生人力資源存在的問題及其政策分析.衛生經濟研究, 2012, 29(2):23-25.
13.	劉冬瑩.對全科醫生開展系統心理衛生知識與技能培訓的可行性研究.中國全科醫學, 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.	周仲華, 黃文娟, 金世紅.綜合醫院全科醫療門診中精神心理障礙的患病率及診療情況研究.中國全科醫學, 2012, 15(9A):2942-2945.
18.	常向東, 陳勇, 金霞芳, 等.心理衛生進社區對居民心理障礙防治的作用研究.中國全科醫學, 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.	王金榮, 王德平, 沈漁邨, 等.中國七個地區情感性精神障礙流行病學調查.中華精神科雜志, 1998, 31(2):75-77.
21.	馬辛, 李淑然, 向應強, 等.北京市抑郁癥的患病率調查.中華精神科雜志, 2007, 40(2):100-103.
22.	崔利軍, 栗克清, 江琴普, 等.河北省2004-2005年抑郁癥的現況調查.中華精神科雜志, 2007, 40(3):140-143.
23.	馬啟民, 李喜潑, 張海燕, 等.保定市精神障礙流行病學調查.中國全科醫學, 2008, 11(3):522-526.
24.	馮啟明, 羅紅葉, 韋波, 等.廣西壯族自治區城市社區居民抑郁癥流行病學特征研究.中國全科醫學, 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, 李爾曼.篩查抑郁癥.中國全科醫學, 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. 李獻云, 王志青, 費立鵬.社區人群精神障礙患病率調查方法.中國心理衛生雜志, 2010, 24(3):191-194.
10. 廖震華, 丁麗君, 溫程.我國60年精神障礙流行病學調查研究現狀.中國全科醫學, 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. 孫永發, 惠文, 吳華章.精神衛生人力資源存在的問題及其政策分析.衛生經濟研究, 2012, 29(2):23-25.
13. 劉冬瑩.對全科醫生開展系統心理衛生知識與技能培訓的可行性研究.中國全科醫學, 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. 周仲華, 黃文娟, 金世紅.綜合醫院全科醫療門診中精神心理障礙的患病率及診療情況研究.中國全科醫學, 2012, 15(9A):2942-2945.
18. 常向東, 陳勇, 金霞芳, 等.心理衛生進社區對居民心理障礙防治的作用研究.中國全科醫學, 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. 王金榮, 王德平, 沈漁邨, 等.中國七個地區情感性精神障礙流行病學調查.中華精神科雜志, 1998, 31(2):75-77.
21. 馬辛, 李淑然, 向應強, 等.北京市抑郁癥的患病率調查.中華精神科雜志, 2007, 40(2):100-103.
22. 崔利軍, 栗克清, 江琴普, 等.河北省2004-2005年抑郁癥的現況調查.中華精神科雜志, 2007, 40(3):140-143.
23. 馬啟民, 李喜潑, 張海燕, 等.保定市精神障礙流行病學調查.中國全科醫學, 2008, 11(3):522-526.
24. 馮啟明, 羅紅葉, 韋波, 等.廣西壯族自治區城市社區居民抑郁癥流行病學特征研究.中國全科醫學, 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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