社区高龄老年人抑郁与社区融合度的相关性

Correlation between depression and social cohesion among the elderly in the community

目的:了解社区75岁及以上老年人抑郁和社区融合度现状,并分析社区融合度与抑郁的关系。方法:采用一般情况问卷、老年抑郁量表(GDS-15)、社区融合度量表(NCS)对上海市44个居委会75岁及以上2087名老年人进行调查。结果:社区75岁及以上老年人GDS-15得分为(3.26±2.97)分,24.2%老年人存在抑郁症状;NCS得分为(25.88±5.33)分,社区融合水平欠佳及差者占38.9%。GDS-15得分与NCS得分呈负相关(r=-0.295,P<0.01)。多元线性回归分析结果显示,NCS得分是社区老年人抑郁的重要影响因素(P<0.01)。结论:社区75岁及以上老年人抑郁症状较为普遍,社区融合水平欠佳,社区需积极采取措施提高老年人的社区融合度,促进健康老龄化。

Objective:To describe the degree of depression and social cohesion among elderly people aged 75 and over in the community,and to analyze the relationship between social cohesion and depression of the elderly.Method:A survey,involving 2087 older adults aged 75 and above from 44 neighborhoods in Shanghai city,was conducted by using the General questionnaire,Geriatric Depression Scale(GDS-15)and Neighborhood Cohesion Scale(NCS).Results:The total score of GDS-15 in the older adults aged 75 and above in the community was 3.26±2.97.And the elderly with depressive symptoms accounted to 24.2%.The total score of NCS score was 25.88±5.33.And the elderly with low level of social cohesion accounted to 38.9%.There was negatively correlations between the total scores of GDS-15 and NCS(r=-0.295,P<0.01).The results of multiple linear regression analysis showed that NCS score was an important influencing factors of depression of the elderly in the community(P<0.01).Conclusion:The depressive symptoms of elderly people aged 75 and over were prevalent,and the level of social cohesion was low.The community needed to take active measures to improve neighborhood social cohesion,in order to promote healthy aging.