ArticleFrontiers in public health2025
Global trends and health inequalities in mental disorders among older adults: a comprehensive analysis using global burden of disease 2021 data.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparative efficacy of group versus individual reminiscence therapy for depression in older adults: A network meta-analysis stratified by severity.International journal of nursing sciences · 2026Pooled it
- Multidimensional determinants of depression and non-depression in older adults: evidence from national data.BMC geriatrics · 2026Article
- Factors associated with mental health service utilization among chronically ill minority older adults in Thailand's remote highland regions.Preventive medicine reports · 2026Article
- Global burden of cardiovascular disease attributable to lead exposure: based on the global burden of disease study 2021.Frontiers in public health · 2026Article
- Subjective aging and psychological well-being in older adults: a narrative review and multilevel framework integrating perceptual, behavioral, and sociocultural pathways.Frontiers in psychology · 2026Review
- Global burden of early-onset mental disorders in adolescents and young adults: a systematic analysis based on the Global Burden of Disease study 2021.BMC psychiatry · 2025Article
- Association Between Self-Reported Psychiatric Diseases and Oral Health Among Older Adults.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study aims to analyze global trends and health inequalities in mental disorders among older adults (≥60 years) using Global Burden of Disease (GBD) 2021 data, with a focus on informing equity-focused public health strategies to address disparities in burden and access to care. Methods: Using GBD 2021 data, we examined mental disorders in adults ≥60 across 204 countries (1990-2021). We calculated age-standardized incidence (ASIR) and disability-adjusted life years (DALYs) rates and estimated annual percentage change (EAPC). Bayesian Age-Period-Cohort modeling and frontier analysis assessed trends and projections. Analyses used R (v4.4.2) and JD_GBDR software. Findings: In 2021, there were 74.9 million (95%UI: 59.8-94.2) new mental disorder cases among older adults globally, with an ASIR of 6,867.6 per 100,000. ASIR remained stable since 1990 (EAPC: 0.01), but varied regionally from 13,024.1 (Central Sub-Saharan Africa) to 4,643.9 (Oceania). The age-standardized DALY rate (ASDR) was 2,095.4 per 100,000, highest in low-SDI regions (2,423.9) and lowest in high-SDI regions (1,934.2). Females had higher ASIR (7,483.7 vs. 5,181.6) and ASDR (2,198.3 vs. 1,760.2) than males, with male DALYs increasing (EAPC: 0.07). By 2035, ASDR is projected to rise to 2,494.5, with depressive and anxiety disorders predominant in high-SDI regions and schizophrenia more prevalent in low-SDI areas. Conclusion: Significant disparities persist, with low-SDI regions and women disproportionately affected. Targeted strategies should strengthen mental healthcare access, implement sex-specific interventions, and address aging-related challenges.
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