Urban-Rural Differences in Older Adult Depression: A Systematic Review and Meta-analysis of Comparative Studies.
Age Factors
Aging
/ psychology
Depression
/ epidemiology
Developed Countries
/ statistics & numerical data
Developing Countries
/ statistics & numerical data
Global Burden of Disease
Humans
Middle Aged
Population Dynamics
/ statistics & numerical data
Prevalence
Rural Population
/ statistics & numerical data
Urban Population
/ statistics & numerical data
Urbanization
Journal
American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
03
02
2018
revised:
06
11
2018
accepted:
07
11
2018
pubmed:
20
2
2019
medline:
21
4
2020
entrez:
20
2
2019
Statut:
ppublish
Résumé
Depression among older adults (aged 60 years or older) is a problem that could be exacerbated by global trends in urbanization and population aging. The study purpose was to assess whether urban, relative to rural, residence is associated with depression among older adults and whether associations differ in countries with developed versus developing economies. In 2017, the authors identified and extracted information from comparative studies of urban-rural depression prevalence among older adults. Studies were identified in PubMed, PsychINFO, and Web of Science and limited to English language articles published after 1985. Eighteen studies met inclusion criteria. Random effects meta-analysis was conducted to produce weighted pooled ORs estimating the association between urban-rural residence and depression for all study participants (N=31,598) and sub-analyses were conducted for developed (n=12,728) and developing (n=18,870) countries. Depression prevalence was significantly higher among urban residents in ten studies and significantly higher among rural residents in three studies (all three conducted in China). Associations between urban-rural residence and depression generally remained significant after adjusting for covariates. In developed countries, the odds of depression were significantly higher among urban than rural residents (pooled OR=1.44, 95% CI=1.10, 1.88). However, in developing countries, this association was not observed (pooled OR=0.91, 95% CI=0.46, 1.77). Converging trends of urbanization and population aging could increase the global burden of depression among older adults. The pathways through which urban-rural residence influences depression risk among older adults might differ by country context. Future research should focus on measuring variation in these contexts.
Identifiants
pubmed: 30777704
pii: S0749-3797(18)32432-2
doi: 10.1016/j.amepre.2018.11.008
pii:
doi:
Types de publication
Comparative Study
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
603-613Informations de copyright
Copyright © 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.