title: Burden and correlates of geriatric depression in the Uyghur elderly population, observation from Xinjiang, China.
abstract: BACKGROUND
  With the gradual aging of the population, geriatric depression has become a major public health issue in China owing to its overall upward trend and associated negative socio-economic impact. Dearth of information regarding the burden and correlates of geriatric depression among Uyghur minority population in Xinjiang Autonomous Region, called for a comprehensive survey involving representative sample for designing efficient targeted intervention to control this disabling disease.
  
  
  METHODS
  A cross-sectional study was conducted among 1329 consenting Uyghur elderly in 2011 in six randomly selected communities/villages in Xinjiang. Information about socio-demographics, behavior, negative life-events, satisfaction regarding income/quality of life and other chronic diseases were collected while assessment of geriatric depression was done using Geriatric Mental State Schedule (GMS).
  
  
  RESULTS
  Among these participants, majority were currently married, had attended elementary school or less, had an average annual family income of less than 3000 Yuan/person, had strong religious beliefs while 10.61% (2.77% in urban and 23.60% in rural area) had geriatric depression (5.91% among male and 14.58% among females). 61.83% were suffering from other chronic diseases, 96.16% could take care of themselves and 39.28% had experienced negative events during last two years. Religious belief (AOR = 3.92, 95% CI 1.18-13.03), satisfaction regarding quality of life (AOR = 0.53, 95% CI 0.37-0.84) and income (AOR = 0.75, 95% CI 0.35-1.60), suffering from more chronic diseases (AOR = 1.70, 95% CI 1.42-2.04), experiencing three or more negative events (AOR = 1.72, 95% CI 0.92-3.22) and lack of ability to take self-care (AOR = 2.20, 95% CI 1.09-4.48) were all associated with having geriatric depression with or without adjustment for gender, education and occupation.
  
  
  CONCLUSIONS
  High prevalence of geriatric depression among Uyghur elderly in Xinjiang seemed to call for urgent interventions, specifically targeting rural residents, who experienced more negative life-events, were suffering from chronic diseases and were dissatisfied with their income and quality of life.
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Feng
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Li
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Lu
authors.affiliation: University of North Carolina Project-China, Guangzhou, Guangdong, 510095, China.
authors.forename: Weiming
authors.initials: W
authors.lastname: Tang
authors.affiliation: Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, 90066, United States of America.
authors.forename: Tanmay
authors.initials: T
authors.lastname: Mahapatra
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Wang
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Xihua
authors.initials: X
authors.lastname: Wang
authors.affiliation: Anhui medical university, Hefei, Anhui, 230032, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Ma
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Yanli
authors.initials: Y
authors.lastname: Ben
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Xiaolin
authors.initials: X
authors.lastname: Cao
authors.affiliation: Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, 90066, United States of America.
authors.forename: Sanchita
authors.initials: S
authors.lastname: Mahapatra
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Min
authors.initials: M
authors.lastname: Ling
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Anshuan
authors.initials: A
authors.lastname: Gou
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Yanmei
authors.initials: Y
authors.lastname: Wang
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Jiangqin
authors.initials: J
authors.lastname: Xiao
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Hou
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Xiuli
authors.initials: X
authors.lastname: Wang
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Lin
authors.affiliation: Centre for Health and Social Care Improvement (CHSCI), Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, WV1 1DT, United Kingdom.
authors.forename: Ruoling
authors.initials: R
authors.lastname: Chen
authors.affiliation: The people's hospital of Xinjiang Uyghur autonomous region, Urumqi, Xinjiang, 830000, China.
authors.forename: Faxing
authors.initials: F
authors.lastname: Wang
authors.affiliation: Anhui medical university, Hefei, Anhui, 230032, China.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Hu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007182:Income; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011788:Quality of Life; D012424:Rural Population; D011795:Surveys and Questionnaires; D014505:Urban Population