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Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys
Hong Cai1,2; Yu Jin3; Rui Liu4; Qinge Zhang4; Zhaohui Su5; Gabor S. Ungvari6,7; Yi-Lang Tang8,9; Chee H. Ng10; Xiao-Hong Li11; Yu-Tao Xiang1,2
2023-02-01
Source PublicationAsian Journal of Psychiatry
ISSN1876-2018
Volume80Pages:103417
Abstract

Background: The reported prevalence of depressive symptoms (depression hereafter) among older adults varied widely across different studies. This was a meta-analysis to systematically examine the global prevalence of depression among older populations and its associated factors. Methods: A systematic literature search was performed in PubMed, EMBASE, PsycINFO, and Web of Science. Due to the differences in demographic and clinical characteristics between studies, random-effects model was used to calculate the pooled prevalence of depression and its 95% confidence interval (95% CI). Results: In total, 55 studies with 59,851 individuals met the study criteria and were included in the analyses. The overall prevalence of depression was 35.1% (95%CI: 30.2–40.4%). Subgroup analyses revealed that different sampling methods (Q=10592.49, p = 0.037), Geriatric Depression Scale versions (Q=13712.55, p < 0.001) and income levels (Q=14.028, P < 0.001) were significantly associated with the pooled prevalence of depression in older adults. In the meta-regression analyses, time of survey (B=0.012, z = 2.30, p = 0.029) was positively associated, and mean age (B=−0.018, z = 2.10, p = 0.044) was negatively associated with the prevalence of depression in older populations. The funnel plot and Egger's test did not reveal any significant publication bias (Egger's test: t = 1.93, p = 0.059). Conclusion: This meta-analysis found that over a third of older populations globally had depression. Effective preventive measures, regular screening and timely interventions are needed to address this highly prevalent public health problem among older adults.

KeywordDepression Older Adult Meta-analysis Epidemiology
DOI10.1016/j.ajp.2022.103417
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000920800200001
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85145722870
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
Corresponding AuthorChee H. Ng; Xiao-Hong Li; Yu-Tao Xiang
Affiliation1.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
2.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
3.College of Education for the Future, Beijing Normal University, Zhuhai, China
4.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
5.School of Public Health, Southeast University, Nanjing, China
6.University of Notre Dame Australia, Fremantle, Australia
7.Division of Psychiatry, School of Medicine, University of Western Australia / Graylands Hospital, Perth, Australia
8.Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA
9.Mental Health Service Line, Atlanta VA Medical Center, Decatur, GA, USA
10.Department of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Victoria, Australia
11.Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China
First Author AffilicationFaculty of Health Sciences;  University of Macau
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Hong Cai,Yu Jin,Rui Liu,et al. Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys[J]. Asian Journal of Psychiatry, 2023, 80, 103417.
APA Hong Cai., Yu Jin., Rui Liu., Qinge Zhang., Zhaohui Su., Gabor S. Ungvari., Yi-Lang Tang., Chee H. Ng., Xiao-Hong Li., & Yu-Tao Xiang (2023). Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys. Asian Journal of Psychiatry, 80, 103417.
MLA Hong Cai,et al."Global prevalence of depression in older adults: A systematic review and meta-analysis of epidemiological surveys".Asian Journal of Psychiatry 80(2023):103417.
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