Prevalence of depression among older adults living in care homes in China: A systematic review and meta-analysis.

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Date: Jan. 2022
Publisher: Elsevier B.V.
Document Type: Report; Brief article
Length: 285 words

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Keywords Prevalence; Geriatric depression; Care homes; China; Meta-analysis Abstract Objectives Despite the large number of older adults living in care homes in China, the reported prevalence of depression in such settings has varied greatly, while its pooled overall prevalence has remained unknown. In response, our systematic review and meta-analysis were designed to provide accurate, comprehensive evidence of the prevalence of geriatric depression in care homes in China. Methods Literature searches were conducted independently by two investigators in English- and Chinese-language databases from database inception through January 2020. The prevalence of depressive symptoms in late life was analyzed with a random effects model. Results In 69 studies addressing older adults living in care homes in China, the pooled overall prevalence of depressive symptoms was 36.8% (95% CI, 32.7%--41.1%). Respective estimates for mild and moderate-to-severe depressive symptoms were 29.1% (95% CI, 25.2%--32.7%) and 9.1% (95% CI, 7.5%--11.0%). Subgroup analyses revealed significant differences in the prevalence of late-life depression in care homes according to the type of care home, the individual's socioeconomic status, and the measurement instrument(s) used. Meta-regression analysis indicated that the prevalence of late-life depression among older adults living in care homes generally rose from 1991 to 2019. Conclusions Given the high prevalence of geriatric depression in China's care homes, future studies should examine its risk and protective factors in those settings. Author Affiliation: (a) School of Ethnology and Sociology, Department of Social Work, Yunnan University, China (b) Department of Social Work, The Chinese University of Hong Kong, China (c) Department of Psychology, Renmin University of China, China * Corresponding author. Article History: Received 19 March 2021; Revised 15 September 2021; Accepted 12 October 2021 Byline: Tan Tang (a), Jianling Jiang [kmjenny@link.cuhk.edu.hk] (b,*), Xinfeng Tang (c)

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Gale Document Number: GALE|A686459884