我国老年人抑郁轨迹及其预测因素

Depression trajectory of the Chinese elderly and its predict factors

目的:分析我国老年人抑郁轨迹及不同轨迹的预测因素。方法:使用中国健康与养老追踪调查(CHARLS)数据库作为数据来源,收集老年人一般资料、抑郁障碍、日常生活活动能力(ADL)、工具性日常生活活动能力(IADL)数据,通过Logistic回归分析老年人抑郁异质性轨迹的预测因素。结果:老年人抑郁轨迹呈现4种类别(低水平、中水平、高水平、复发),其人数分别占总人数的50.21%、20.96%、11.95%、16.88%。老年人性别、受教育程度、婚姻状态、户口类型、有无医保、有无养老金、饮食习惯、近两年跌倒史、近两年躯体疼痛史、慢性病共患病数、自评健康状况、ADL受损情况、IADL受损情况是抑郁轨迹的预测因素。结论:我国老年人抑郁轨迹呈现不同类别,近一半的老年人呈现为中水平、高水平或复发轨迹。抑郁轨迹的预测因素较多。

Objective:To analyze depression trajectory of the Chinese elderly and predictive factors of different trajectories.Methods:The China health and retirement longitudinal study(CHARLS)database was used as data source,and general information,depressive disorder,activity of daily living(ADL),instrumental activities of daily living(IADL)of elderly were collected.Predictive factors of depression heterogeneity trajectory of elderly were analyzed by Logistic regression.Results:The depression trajectory of elderly presented four categories(low level,medium level,high level,and recurrence),accounting for 50.21%,20.96%,11.95%,and 16.88%of the total population,respectively.Gender,education level,marital status,household registration type,medical insurance status,pension status,dietary habits,history of falls in the past two years,history of physical pain in the past two years,number of comorbidities of chronic diseases,self rated health status,ADL impaired,IADL impaired of elderly were predictive factors for depression trajectory.Conclusions:The depression trajectory of the Chinese elderly presents different categories.Nearly half of the elderly showing medium level,high level,and recurrence trajectory.There are many predictive factors for depression trajectory.