摘要
目的:了解中国独居老人抑郁症状现况及影响因素。方法:利用2018年中国健康与养老追踪调查数据(CHARLS)中1067名≥60岁的独居老人,依据调查问卷中的CESD-10抑郁量表来判断独居老人是否具有抑郁症状,通过χ^(2)检验、Logistic回归分析独居老人抑郁症状影响因素。结果:研究显示中国60岁以上独居老人抑郁症状检出率为44.9%,其中农村高于城市(P<0.001),男性低于女性(P<0.001)。多因素Logistic回归分析结果显示:与男性相比,女性(OR=1.772,95%CI:1.347~2.333)与独居老人抑郁症状的检出有关(P<0.05);与居住在城市相比,农村(OR=1.913,95%CI:1.410~2.595)与独居老人抑郁症状检出有关(P<0.05);与健康状态较健康相比,健康状态一般(OR=1.564,95%CI:1.102~2.220)和较不健康(OR=6.145,95%CI:4.168~9.058)与独居老人抑郁症状检出有关(P<0.05);与睡眠时长7~9h相比,睡眠时长<7h(OR=2.342,95%CI:1.702~3.223)与独居老人抑郁症状检出有关(P<0.05),而睡眠时长>9h与独居老人抑郁症状检出无关联(P>0.05)。结论:独居老人抑郁症状与性别、睡眠时长、居住地区、自评健康状况等因素存在关联,相关部门应加倍重视女性、农村、健康状况不佳及失眠的独居老人心理健康。
Objective:To investigate the status and influencing factors of depressive symptoms among elderly living alone in China.Methods:A total of 1067 elderly people aged≥60 years old who lived alone in China from Health and Old-age Follow-up Survey(CHARLS)in 2018 were selected.The CESD 10 depression scale in the questionnaire was used to determine whether the elderly living alone had depression symptoms.And Chi-square test and Logisic regression were used to analyze the influncing factors of depressive symptoms in the living alone.Results:The study showed that the prevalence of depressive symptoms in the elderly over 60 years old living alone in China was 44.9%,which was higher in rural areas than in urban areas(P<0.001),and males were lower than females(P<0.001).Multivariate Logistic regression analysis showed that compared with male,female(OR=1.772,95%CI:1.347~2.333)was correlated with the detection of depressive symptoms in elderly people living alone(P<0.05).Compared with living in the city,the rural area(OR=1.913,95%CI:1.410~2.595)was correlated with the detection of depressive symptoms in the elderly living alone(P<0.05).Compared with the healthy state,the healthy state is average(OR=1.564,95%CI:1.102~2.220)and the unhealthy state(OR=6.145,95%CI:4.168~9.058)were correlated with the detection of depressive symptoms in the elderly living alone(P<0.05).Compared with sleep duration of 7~9 hours,sleep duration<7 hours(OR=2.342,95%CI:1.702~3.223)was correlated with the detection of depressive symptoms in elderly people living alone(P<0.05).However,sleep duration>9 hours was not associated with depressive symptoms in elderly living alone(P>0.05).Conclusion:The depressive symptoms of the elderly living alone in China are significant associated with gender,sleep duration,living area,self-rated health status.The related departments should pay more attention to the mental health of the elderly living alone in female,rural areas,poor health and insomnia.
作者
先德强
舒惠
马小英
王淑敏
林磊
贺爽
李依霖
刘娅
XIAN Deqiang;SHU Hui;MA Xiaoying(Luzhou Center for Disease Control and Prevention,Luzhou City,Sichuan Province 646000;不详)
出处
《医学理论与实践》
2023年第20期3440-3442,3439,共4页
The Journal of Medical Theory and Practice
基金
泸州市疾病预防控制 中心2022年科研课题(LZCDC2022YB-02)
西南医科大学2022年大学生创新创业训练计划项目(2022091)。
关键词
独居老人
抑郁症状
影响因素
CHARLS
Elderly living alone
Depressive symptoms
Influencing factors
CHARLS