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Comparisons of prevalence and related factors of depression in middle-aged adults between urban and rural populations in Japan.

Abstract：

BACKGROUND:Findings of urban-rural differences in the prevalence of depression have been controversial, and few reports have directly compared the related factors of depression between urban and rural areas. The present study aimed to investigate differences between urban and rural areas in Japan with regards to the prevalence of and related factors of depression in middle-aged adults, in order to further understanding of the features of depression in this demographic. METHODS:We used a multistage, random sampling procedure and mailing method. In total, 5000 participants were recruited from urban and rural areas in Kumamoto Prefecture (2500 in each area). Participants were aged from 40 to 64 years. Depression was assessed using the Center for Epidemiologic Studies Depression scale (CES-D). RESULTS:The prevalence of middle-aged depression was not different between the urban and rural areas. Logistic regression analysis found that being female, living alone, and having a chronic illness were significantly associated with depression in urban-dwelling middle-aged adults. Younger age, sleep disturbance, and financial strain were significantly associated with depression in both urban and rural areas. LIMITATIONS:The definition of depression was based on CES-D scores, without corroborating clinical evaluation. CONCLUSIONS:We found no marked differences in the prevalence of middle-aged depression between the urban and rural areas. Some related factors of depression in middle-aged adults differed between urban and rural areas in Japan. Effective intervention programs for middle-aged adults with depression should consider regional differences.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Fujise N,Abe Y,Fukunaga R,Nakagawa Y,Nishi Y,Koyama A,Ikeda M

doi

10.1016/j.jad.2015.11.020

subject

Has Abstract

pub_date

2016-01-15 00:00:00

pages

772-776

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(15)30875-2

journal_volume

190

pub_type

杂志文章

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