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老年人抑郁现状及影响因素分析 被引量:8

Analysis of the status quo and influencing factors of depression in the elderly
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摘要 目的了解老年人抑郁现状及影响因素。方法使用2018年中国健康与养老追踪调查(CHARLS)数据,采用性别、年龄、婚姻状况、教育程度等人口学变量,使用简版流调中心抑郁量表的观测值,剔除有缺失值的样本后共纳入1581个样本进行研究。结果本调查结果显示,有34.9%的老年人存在抑郁症状。不同居住地、婚姻状况、自评健康状况、大脑智力、耳聋及失能老年人抑郁水平得分比较,差异有统计学意义(P<0.05)。logistic回归结果显示,居住地、婚姻状况、过去1年是否饮酒、自评健康状况是老年人发生抑郁状况的影响因素(P<0.05)。其中,与乡村老年人比较,城中心老年人出现抑郁症状的概率降低0.34倍(OR=0.66,P<0.05);与未婚、分居状况的老年人比较,已婚老年人出现抑郁症状的概率降低0.37倍(OR=0.63,P<0.05);与自评健康状况非常好的老年人比较,自评健康状况非常差的老年人出现抑郁症状的概率上升1.73倍(OR=2.73,P<0.05)。结论多种因素共同影响着老年人的抑郁症状,要用综合干预手段干预老年人的抑郁症状。 Objective To understand the status quo and influencing factors of depression in the elderly.Methods The 2018 China Health and Retirement Longitudinal Survey(CHARLS)data was used,demographic variables such as gender,age,marital status,education level were selected,and the level of observations on the simplified epidemiological survey center depression scale was used.After excluding samples with missing values,a total of 1581 samples were included for research.Results The survey results showed that 34.9% of the elderly had depressive symptoms.There were statistically significant differences in the scores of depression level among the elderly with different residence,marital status,self-assessed health status,brain intelligence,deafness and disability(P<0.05).The logistic regression results showed that residence,marital status,whether drinking in the past year,and self-assessed health status were the influencing factors of depression in the elderly(P<0.05).Among them,compared with the elderly in rural areas,the probability of depressive symptoms in the elderly in urban areas was reduced by 0.34 times(OR=0.66,P<0.05);compared with the elderly in unmarried and separated status,the probability of depressive symptoms in the elderly in married was reduced by 0.37 times(OR=0.66,P<0.05);compared with the elderly with very good self-assessed health status,the probability of depressive symptoms in the elderly with very poor self-assessed health status increased by 1.73 times(OR=2.73,P<0.05).Conclusion A variety of factors jointly affect the depressive symptoms of the elderly,and comprehensive intervention methods should be used to intervene in the depressive symptoms of the elderly.
作者 万秋容 黄雅莲 毛晓雨 唐平 WAN Qiurong;HUANG Yalian;MAO Xiaoyu;TANG Ping(School of Psychology,Chengdu Medical College,Sichuan Province,Chengdu 610500,China)
出处 《中国医药导报》 CAS 2022年第8期48-51,63,共5页 China Medical Herald
基金 四川省科技厅重点研发项目(2020YFS0319) 四川省社会科学重点研究基地四川应用心理学研究中心项目(CSXL-202A18)。
关键词 老年人 抑郁 现状 影响因素 The elderly Depression Status quo Influencing factor
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