Depressive Symptomatik und Inanspruchnahme von Gesundheits- und Pflegeleistungen bei Personen im Alter ab 50 Jahren in Deutschland

Zusammenfassung

Ziel der Studie: Untersuchung des Zusammenhangs zwischen depressiver Symptomatik und der Inanspruchnahme von Gesundheits- und Pflegeleistungen bei Personen ab 50 Jahren in Deutschland.

Methodik: In einer Querschnittstudie wurden Daten der deutschen Stichprobe des „Survey of Health, Ageing and Retirement in Europe“ (SHARE) (n = 2890) hinsichtlich depressiver Symptomatik (≥ 4 Punkte auf der EURO-D-Skala) und der Inanspruchnahme medizinischer und pflegerischer Versorgungsleistungen ausgewertet.

Ergebnisse: Eine depressive Symptomatik bestand bei 21 % der Probanden und war auch nach statistischer Adjustierung für relevante Kovariablen mit einer erhöhten Inanspruchnahme aller untersuchten Gesundheits- und Pflegeleistungen assoziiert.

Schlussfolgerung: Die Ergebnisse sprechen für eine erhöhte Inanspruchnahme von Versorgungsleistungen bei älteren Menschen mit depressiver Symptomatik.

Abstract

Objective: To examine the association between depressive symptoms and the use of health services among people aged 50 years or older in Germany.

Methods: Data came from the German subsample of the “Survey of Health, Ageing and Retirement in Europe (SHARE)”, comprising a nationally representative sample of 2890 German residents aged 50 years or older (mean age 65 years, 55 % women). The cross-sectional association between depressive symptoms (EURO-D scale ≥ 4 points) and health service use was examined by multivariable regression analysis.

Results: Depressive symptoms were found in 21 % of respondents and were associated with a higher utilisation of health care services (odds ratio [OR] 2.3, 95 % confidence interval [CI] 1.2 – 4.3) and social care services (OR 2.6, 95 % CI 1.5 – 4.7) even after adjusting for sociodemographic and psychosocial factors, cognitive function and indicators of physical health.

Conclusion: Participants with depressive symptoms had a higher service utilisation independent of somatic comorbidity and other potential confounders.

Schlüsselwörter

depressive Symptomatik - EURO-D-Skala - Inanspruchnahme - Gesundheitsleistungen - Pflegeleistungen

Keywords

depressive symptoms - EURO-D scale - health service utilisation

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