Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021

ObjectiveTo analyze the trends in disease burden and risk factors of depression among the elderly population in China from 1990 to 2021, and to provide a theoretical basis for the prevention, treatment, and policy-making of geriatric depression in China.MethodsData on the disease burden of geriatric...

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Main Authors: BAO Xiaolin, WEI Hongjuan, BIAN Xinxin, MA Xiumei, GAO Yin, ZHANG Yingyan, LIU Wei, MA Yuexian, ZHANG Weixin, YANG Xuewen
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-11-01
Series:Xiehe Yixue Zazhi
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Online Access:https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0664
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author BAO Xiaolin
WEI Hongjuan
BIAN Xinxin
MA Xiumei
GAO Yin
ZHANG Yingyan
LIU Wei
MA Yuexian
ZHANG Weixin
YANG Xuewen
author_facet BAO Xiaolin
WEI Hongjuan
BIAN Xinxin
MA Xiumei
GAO Yin
ZHANG Yingyan
LIU Wei
MA Yuexian
ZHANG Weixin
YANG Xuewen
author_sort BAO Xiaolin
collection DOAJ
description ObjectiveTo analyze the trends in disease burden and risk factors of depression among the elderly population in China from 1990 to 2021, and to provide a theoretical basis for the prevention, treatment, and policy-making of geriatric depression in China.MethodsData on the disease burden of geriatric depression in China from 1990 to 2021, including the number of incident cases, disability-adjusted life years (DALYs), incidence rate, and DALY rate, were extracted from the 2021 Global Burden of Disease (GBD) database.The Joinpoint regression model was used to analyze the trends by calculating the annual percentage change (APC) and average annual percentage change (AAPC).The autoregressive integrated moving average (ARIMA) model was employed to predict the disease burden of geriatric depression over the next five years.Population attributable fractions (PAFs) were used to describe the risk factors for geriatric depression in China in 1990 and 2021.ResultsFrom 1990 to 2021, the number of incident cases and the incidence rate of geriatric depression in China showed an overall upward trend.The most significant increase in incidence was observed in the 60-64 age group, while the prevalence rate increased notably in the ≥ 95 age group.TheDALY rate showed the most pronounced upward trend in the 65-69 age group.The incidence, prevalence, and DALY rates of geriatric depression were higher in women than in men.Major risk factors included child hood sexual abuse and intimate partner violence, with the impact of intimate partner violence being particularly significant among women.The ARIMA model predicted that the incidence, prevalence, and DALY rates of geriatric depression in China would decline over the next five years, with a greater decline observed in women than in men.ConclusionsFrom 1990 to 2021, the incidence, prevalence, and DALY rates of geriatric depression in China showed an overall upward trend, with higher rates observed in women than in men.Greater attention should be paid to the elderly female population, with a focus on early prevention to reduce the disease burden of geriatric depression.
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publisher Editorial Office of Medical Journal of Peking Union Medical College Hospital
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spelling doaj-art-24d84f53a7564e5ebce22d5967b4a9032025-08-20T02:12:10ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-11-0116236136910.12290/xhyxzz.2024-0664Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021BAO Xiaolin0WEI Hongjuan1BIAN Xinxin2MA Xiumei3GAO Yin4ZHANG Yingyan5LIU Wei6MA Yuexian7ZHANG Weixin8YANG Xuewen9The Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaThe Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaThe Second Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaSchool of Nursing, Qiqihar Medical University, Qiqihar, Heilongjiang 161006, ChinaThe Third Affiliated Hospital of Qiqihar Medical University, Qiqihar, Heilongjiang 161002, ChinaObjectiveTo analyze the trends in disease burden and risk factors of depression among the elderly population in China from 1990 to 2021, and to provide a theoretical basis for the prevention, treatment, and policy-making of geriatric depression in China.MethodsData on the disease burden of geriatric depression in China from 1990 to 2021, including the number of incident cases, disability-adjusted life years (DALYs), incidence rate, and DALY rate, were extracted from the 2021 Global Burden of Disease (GBD) database.The Joinpoint regression model was used to analyze the trends by calculating the annual percentage change (APC) and average annual percentage change (AAPC).The autoregressive integrated moving average (ARIMA) model was employed to predict the disease burden of geriatric depression over the next five years.Population attributable fractions (PAFs) were used to describe the risk factors for geriatric depression in China in 1990 and 2021.ResultsFrom 1990 to 2021, the number of incident cases and the incidence rate of geriatric depression in China showed an overall upward trend.The most significant increase in incidence was observed in the 60-64 age group, while the prevalence rate increased notably in the ≥ 95 age group.TheDALY rate showed the most pronounced upward trend in the 65-69 age group.The incidence, prevalence, and DALY rates of geriatric depression were higher in women than in men.Major risk factors included child hood sexual abuse and intimate partner violence, with the impact of intimate partner violence being particularly significant among women.The ARIMA model predicted that the incidence, prevalence, and DALY rates of geriatric depression in China would decline over the next five years, with a greater decline observed in women than in men.ConclusionsFrom 1990 to 2021, the incidence, prevalence, and DALY rates of geriatric depression in China showed an overall upward trend, with higher rates observed in women than in men.Greater attention should be paid to the elderly female population, with a focus on early prevention to reduce the disease burden of geriatric depression.https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0664elderlydepressionburden of diseaseprediction
spellingShingle BAO Xiaolin
WEI Hongjuan
BIAN Xinxin
MA Xiumei
GAO Yin
ZHANG Yingyan
LIU Wei
MA Yuexian
ZHANG Weixin
YANG Xuewen
Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
Xiehe Yixue Zazhi
elderly
depression
burden of disease
prediction
title Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
title_full Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
title_fullStr Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
title_full_unstemmed Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
title_short Analysis and Prediction of Disease Burden of Depression in Old Age in China from 1990 to 2021
title_sort analysis and prediction of disease burden of depression in old age in china from 1990 to 2021
topic elderly
depression
burden of disease
prediction
url https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0664
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