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Depression is a major cause of morbidity worldwide.[244] It is believed to currently affect approximately 298 million people as of 2010 (4.3% of the global population).[245] Lifetime prevalence varies widely, from 3% in Japan to 17% in the US.[246] In most countries the number of people who have depression during their lives falls within an 8–12% range.[246] In North America, the probability of having a major depressive episode within a year-long period is 3–5% for males and 8–10% for females.[247][248] Population studies have consistently shown major depression to be about twice as common in women as in men, although it is unclear why this is so, and whether factors unaccounted for are contributing to this.[249] The relative increase in occurrence is related to pubertal development rather than chronological age, reaches adult ratios between the ages of 15 and 18, and appears associated with psychosocial more than hormonal factors.[249] People are most likely to suffer their first depressive episode between the ages of 30 and 40, and there is a second, smaller peak of incidence between ages 50 and 60.[250] The risk of major depression is increased with neurological conditions such as stroke, Parkinson's disease, or multiple sclerosis, and during the first year after childbirth.[251] It is also more common after cardiovascular illnesses, and is related more to a poor outcome than to a better one.[236][252] Studies conflict on the prevalence of depression in the elderly, but most data suggest there is a reduction in this age group.[253] Depressive disorders are more common to observe in urban than in rural population and the prevalence is in groups with stronger socioeconomic factors i.e. homelessness.[254] |
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