Objective To explore the effects of comorbidity of chronic diseases on depression and anxiety a-mong the elderly aged 65 and above in Haidian District,Beijing.Methods A total of 3 600 people aged 65 and above in 15 subdistricts,Haidian District were recruited.A face-to-face survey was conducted among the elderly people with a self-designed questionnaire on chronic disease.The Geriatric Depression Scale(GDS-15)and the Self-rating Anxiety Scale(SAS)were used to assess depression and anxiety.Logistic regression was used to analyze the influencing factors.Results Of the 3 387 participants with valid information,1 218(35.96％)were identified as having comorbidity of chronic diseases,depression and anxiety were reported by 573(16.92％)and 367(10.84％)respectively.Depression and anxiety were detected in 268(22.00％)and 207(17.00％)of the elderly with chronic disease comorbidities,while depression and anxiety were detected in 305(14.06％)and 160(7.38％)of the non-comorbidities.The positive rates of depression and anxiety were 1.56 times and 2.30 times of those of non-comorbidity,respectively.Multivariate lo-gistic regression analysis showed that the elderly with comorbidity of chronic diseases,in contrast to those without,were at an increased risk of depression(OR=3.051,95％CI:1.993-4.673)and anxiety(OR=5.196,95％CI:3.276-8.240).Hypertension and osteoarthropathy comorbidities were risk factors for depression(OR=2.276,95％CI:1.641-3.157).Hypertension and cardiovascular disease,hypertension and osteoarthropathy comorbidities were risk factors for anxiety(OR=1.889,95％CI:1.285-2.777;OR=3.102,95％CI:2.150-4.476).Conclusion Comor-bidity of chronic diseases increase the risk of depression and anxiety among the elderly people.
维普
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