@article{ref1,
title="Depressive symptoms in elderly Chinese primary care patients: prevalence and sociodemographic and clinical correlates",
journal="Journal of geriatric psychiatry and neurology",
year="2019",
author="Zhong, Bao-Liang and Xu, Yan-Min and Xie, Wu-Xiang and Liu, Xiu-Jun and Huang, Zhuo-Wei",
volume="32",
number="6",
pages="312-318",
abstract="OBJECTIVE: To estimate the prevalence of depressive symptoms (depression thereafter) and to identify the sociodemographic and clinical correlates of depression in a sample of elderly patients treated in the primary care setting in Wuhan, China. <br><br>BACKGROUND: Primary care is an opportune setting for the management of late-life depression in China, but there have been no representative studies on the clinical epidemiology of depression in elderly Chinese primary care patients. <br><br>METHODS: In total, 752 elderly patients (≥ 65 years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire. Depression was assessed with the 15-item Geriatric Depression Scale (GDS-15). <br><br>RESULTS: Of the elderly Chinese primary care patients, 30.6% had depression (GDS-15 ≥ 5). Correlates of depression were an education level of primary school or less (odds ratio [OR]: 1.94, 95% confidence interval [CI]: 1.36-2.77, <i>P</i> <.001), poor financial status (OR: 2.19, 95% CI: 1.16-4.15, <i>P</i> =.016), lack of an exercise habit (OR: 1.40, 95% CI: 1.06-1.74, <i>P</i> =.023), 2 or more chronic medical conditions (OR: 1.90, 95% CI: 1.34-2.69, <i>P</i> <.001), and loneliness (OR: 3.53, 95% CI: 2.46-5.08, <i>P</i> <.001). <br><br>CONCLUSIONS: Depression is prevalent among elderly Chinese primary care patients, indicating that elderly patients treated in primary care have a high level of need for mental health services in China. There is an urgent need to integrate mental health services into primary health care.<p /> <p>Language: en</p>",
language="en",
issn="0891-9887",
doi="10.1177/0891988719862620",
url="http://dx.doi.org/10.1177/0891988719862620"
}