摘要
目的:探讨慢性病共病对我国中老年人抑郁症状的影响,为有效防控中老年人抑郁症状的发生,改善中老年人慢性病共病患者的心理健康提供参考。方法:利用2018年中国健康与养老追踪调查数据,选取16587名45岁及以上中老年人为研究对象。采用倾向性评分匹配法匹配慢性病共病与非共病中老年人,采用单因素分析和多因素logistic回归分析研究共病对中老年人抑郁症状的影响。结果:我国中老年人慢性病共病患病率为55.88%,慢性病共病中老年人中抑郁症状发生率为45.65%。Logistic回归分析结果显示慢性病共病是中老年人发生抑郁症状的危险因素(P<0.001);此外,社会人口学特征、社会经济特征、健康状况、社会支持、行为生活方式也是中老年人发生抑郁症状的影响因素(P<0.05)。结论:与非慢性病共病中老年人相比,慢性病共病中老年人出现抑郁症状的风险更高,应重视对慢性病共病中老年人群心理健康的管理。
Objective:To investigate the influence of chronic disease comorbidity on depressive symptom among middle-aged and elderly people in China,so as to provide references for effectively preventing and controlling the occurrence of depressive symptom of middle-aged and elderly people and improving the mental health of middle-aged and elderly patients with chronic disease comorbidity.Methods:Based on the China health and retirement longitudinal survey data in 2018,16587 middle-aged and elderly people aged 45 and above were selected as the subjects.The propensity score matching was used for matching chronic disease comorbidity and non-comorbidity among middle-aged and elderly people.The influence of comorbidity on depressive symptom among middle-aged and elderly people was analyzed by univariate analysis and multivariate logistic regression analysis.Results:The prevalence rate of chronic disease comorbidity among middle-aged and elderly people was 55.88%and the incidence rate of depressive symptom among middle-aged and elderly people with chronic disease comorbidity was 45.65%.Logistic regression analysis showed that the chronic disease comorbidity was the risk factor of depressive symptom among middle-aged and elderly people(P<0.001).Besides that,the demographic characteristics,socio-economic characteristics,health condition,social support and lifestyles were also related to the depressive symptom among middle-aged and elderly people(P<0.05).Conclusion:Compared with the middle-aged and elderly people without chronic disease comorbidity,the risk of depressive symptom affected by chronic disease comorbidity among middle-aged and elderly people is higher,and more attention should be paid on the mental health management among middle-aged and elderly people with chronic disease comorbidity.
作者
赵慧
王志伟
马婷婷
江晓言
王佩璇
ZHAO Hui(School of Management,Beijing University of Chinese Medicine,Beijing,102488,China)
出处
《医学与社会》
北大核心
2022年第6期127-132,144,共7页
Medicine and Society
基金
国家中医药管理局委托办事经费项目,编号为GZY-GCS-2019-027。
关键词
抑郁症状
慢性病
共病
倾向性评分匹配法
中老年人
Depressive Symptom
Chronic Disease
Comorbidity
Propensity Score Matching
Middle-aged and Elderly People