Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China - Takeaways - 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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  • 1

    The lifetime prevalence of depressive disorders among community-dwelling older adults in China is 7.9%, with a 12-month prevalence of 4.1%.

  • 2

    Having at least three physical illnesses significantly increases the odds of depressive disorders in older adults, with an odds ratio of 11.4.

  • 3

    Comorbid anxiety and substance use disorders are also associated with higher odds of depression, with odds ratios of 8.4 and 8.9, respectively.

  • 4

    Role impairment due to depressive disorders affects various aspects of life, including household duties (67.9%) and work (73.2%).

  • 5

    Only 11.3% of older adults diagnosed with depressive disorders utilized mental health services in the past 12 months.

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