Prevalence of depression among older adults living in care homes in China: A systematic review and meta-analysis

被引:21
作者
Tang, Tan [1 ]
Jiang, Jianling [2 ]
Tang, Xinfeng [3 ]
机构
[1] Yunnan Univ, Sch Ethnol & Sociol, Dept Social Work, Yunnan, Peoples R China
[2] Chinese Univ Hong Kong, Dept Social Work, Hong Kong, Peoples R China
[3] Renmin Univ China, Dept Psychol, Renmin, Peoples R China
关键词
Prevalence; Geriatric depression; Care homes; China; Meta; -analysis; LATE-LIFE; BIAS; RESIDENTS; RISK;
D O I
10.1016/j.ijnurstu.2021.104114
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: Despite the large number of older adults living in care homes in China, the reported preva-lence of depression in such settings has varied greatly, while its pooled overall prevalence has remained unknown. In response, our systematic review and meta-analysis were designed to provide accurate, com-prehensive evidence of the prevalence of geriatric depression in care homes in China.Methods: Literature searches were conducted independently by two investigators in English-and Chinese-language databases from database inception through January 2020. The prevalence of depressive symp-toms in late life was analyzed with a random effects model.Results: In 69 studies addressing older adults living in care homes in China, the pooled overall prevalence of depressive symptoms was 36.8% (95% CI, 32.7%-41.1%). Respective estimates for mild and moderate-to-severe depressive symptoms were 29.1% (95% CI, 25.2%-32.7%) and 9.1% (95% CI, 7.5%-11.0%). Subgroup analyses revealed significant differences in the prevalence of late-life depression in care homes according to the type of care home, the individual's socioeconomic status, and the measurement instrument(s) used. Meta-regression analysis indicated that the prevalence of late-life depression among older adults living in care homes generally rose from 1991 to 2019.Conclusions: Given the high prevalence of geriatric depression in China's care homes, future studies should examine its risk and protective factors in those settings. (c) 2021 Published by Elsevier Ltd.
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页数:12
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