老年人居家不出现状及与健康自评、抑郁关系

Relationship between self-rated health,depression and housebound status in the elderly

目的探讨老年居家不出状态与健康自评、抑郁的关系。方法以河北省唐山市5个社区内≥60岁的老年人为研究对象,采用面对面访谈式方法进行问卷调查;应用SPSS 13.0软件进行单因素和多因素非条件Logistic回归分析。结果在调查的1 475名老年人中,老年居家不出状态发生率为18.8%,女性居家不出状态发生率(20.9%)高于男性(15.9%),无配偶者居家不出状态发生率(23.5%)高于有配偶者(16.9%),随年龄增高居家不出状态发生率也随之增加,差异均有统计学意义(P<0.01);非条件Logistic回归分析结果显示:不锻炼、抑郁、高龄、女性、健康自评差是居家不出状态发生的危险因素。结论健康自评、抑郁与老年人居家不出状态的发生相关。

Objective To study the relationship between self-rated health,depression and housebound status in elderly population. Methods The residents ≥60 years old from five communities were selected in Tangshan city,Hebei province. The unified scale was used. The subjects were investigated with face-to-face interview. SPSS 13.0 software package was used for statistic analysis. Results The housebound rate was 18. 8% among 1 475 subjects. The incidence rate of housebound in the female was significantly higher than that of the male. The housebound rate was increased with the increment of age （P 〈0. 01 ）. The subjects without spouse had a higher risk of suffering from housebound than those of with spouse（P 〈0.01 ）. The multiple logistic regression analysis indicated that age, female, lack of exercise were independent risk factors for housebound. Condusion Poor self-rated health, depression is associated with the prevalence of housebound among the elderly.