Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China - Report - MDSpire
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The Frequency, Impact on Daily Functioning, and Mental Health Service Engagement of Depression in Older Adults Living in the Community in China

  • By

  • Dandan Wang

  • Xiaofei Hou

  • Zhaorui Liu

  • Yueqin Huang

  • Shuiyuan Xiao

  • Lingjiang Li

  • Tingting Zhang

  • Jie Yan

  • Yaqin Yu

  • Xiufeng Xu

  • Zhizhong Wang

  • Yifeng Xu

  • Tao Li

  • Xiangdong Xu

  • Limin Wang

  • Yongping Yan

  • Minghui Li

  • Guangming Xu

  • Huifang Yin

  • September 3, 2026

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Clinical Report: Depression in Older Adults Living in Community in China

Overview

This study reveals a weighted lifetime prevalence of depressive disorders at 7.9% and a 12-month prevalence of 4.1% among older adults in China.

Background

Depressive disorders pose a significant public health challenge, particularly among older adults, impacting their quality of life and increasing healthcare costs.

Data Highlights

MeasureLifetime Prevalence12-Month Prevalence
Depressive Disorders7.9% (95% CI: 6.4%-9.5%)4.1% (95% CI: 3.2%-4.9%)

Key Findings

  • Weighted lifetime prevalence of depressive disorders was 7.9% among older adults.
  • 12-month prevalence of depressive disorders was 4.1%.
  • Having at least three physical illnesses increased the odds of depressive disorders (OR = 11.4).
  • Comorbid anxiety disorders and substance use disorders were associated with higher odds of depression (OR = 8.4 and OR = 8.9, respectively).
  • Role impairment affected household duties (67.9%), work (73.2%), relationships (62.2%), and social life (60.7%) among those with 12-month depressive disorders.
  • Only 11.3% of participants with depressive disorders utilized mental health services.

Clinical Implications

Mental health service utilization was reported by only 11.3% of participants diagnosed with depressive disorders during the previous 12 months.

Conclusion

Depressive disorders are prevalent among community-dwelling older adults in China, with significant associated factors and low service engagement.

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China
  2. Mental health of older adults, WHO, 2026 -- Mental health of older adults
  3. Frontiers in Psychiatry — From digital access to social connectedness: the digital divide, bonding social capital, and depressive symptoms among older adults in China
  4. DIGITAL HEALTH — Digital inclusion and depressive symptoms among Chinese older adults: The moderating role of cognitive function
  5. Frontiers in Psychiatry — Latent profile analysis of depressive symptoms among Chinese older adults with disabilities and associated factors
  6. DIGITAL HEALTH — Beyond the individual: A dyadic longitudinal study of internet use, social participation, and depressive symptoms in older couples
  7. From digital access to social connectedness: the digital divide, bonding social capital, and depressive symptoms among older adults in China
  8. Digital inclusion and depressive symptoms among Chinese older adults: The moderating role of cognitive function
  9. Mental health of older adults
  10. 老年期抑郁障碍诊疗专家共识(2025版) - 中国生物医学文献服务系统
  11. Frontiers | Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China
  12. The Effect of Home‐ and Community‐Based Eldercare Services on Depression in the Elderly: Evidence From China Longitudinal Aging Social Survey - Zhou - 2026 - Health & Social Care in the Community - Wiley Online Library
  13. Long term outcomes from the IMPACT randomised trial for depressed elderly patients in primary care - PMC
  14. Depression care management for adults older than 60 years in primary care clinics in urban China: a cluster-randomised trial - ScienceDirect

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