我国老年高血压患者抑郁状况及其影响因素分析——基于第8轮CLHLS数据

Depression and its influencing factors among elderly hypertensive patients in China:based on the 8th round CLHLS data

目的基于第8轮中国老年健康影响因素跟踪调查(CLHLS)的全国数据,分析我国老年高血压患者抑郁状况及其影响因素。方法从第8轮CLHLS数据中纳入年龄≥65岁、有流调中心抑郁水平评定10条目量表(CES-D-10)调查结果、明确表示自己患有高血压的5210例患者。CES-D-10总分≥10分认为有抑郁症状。纳入人口统计学特征、社会因素、生活习惯和健康状况等协变量,采用多重插补法填补缺失数据,利用二元logistic回归模型分析老年高血压患者出现抑郁症状的影响因素。结果5210例老年高血压患者中,有669例(12.84%)存在抑郁症状。logistic回归分析结果显示,男性(OR=1.355)、低经济收入(OR=3.132)、日常生活活动(ADL)障碍(轻度:OR=1.894;重度:OR=2.951)是老年高血压患者抑郁的危险因素,年龄≥90岁(90~99岁:OR=0.527;≥100岁:OR=0.517)、高经济收入(OR=0.701)、体育锻炼(OR=0.551)、睡眠时长≥6 h(6.0~7.9 h:OR=0.286;8.0~9.9 h:OR=0.203;≥10.0 h:OR=0.205)是老年高血压患者抑郁的保护因素(P均<0.05)。结论老年高血压患者中有12.84%存在抑郁症状,男性、低经济收入、ADL障碍、年龄<90岁、无体育锻炼习惯、睡眠时长<6 h的老年高血压患者可能更容易存在抑郁症状。

Objective To analyze the depression and its influencing factors among elderly hypertensive patients in China based on the 8th round Chinese Longitudinal Healthy Longevity Survey(CLHLS)data.Methods A total of 5210 hypertensive patients aged≥65 years having survey results of 10-item Center for Epidemiologic Studies depression scale(CES-D-10)were enrolled according the 8th round CLHLS data.The depression was identified by the total score of CES-D-10≥10.Covariates such as demographic characteristics,social factors,living habits,and health status were included.Multiple imputation was used to fill in the missing data,and binary logistic model was used to analyze the influencing factors of depression of elderly people with hypertension.Results The prevalence of depression among the 5210 elderly people with hypertension was 12.84%(669/5210).The logistic regression analysis showed that male(odds ratio[OR]=1.355),poor(OR=3.132),and activities of daily living(ADL)dysfunction(mild:OR=1.894;severe:OR=2.951)were risk factors of depression in the elderly people with hypertension, while age≥90 years old (90-99 years old: OR=0.527;≥100 years old: OR=0.517),being rich (OR=0.701), doing exercise (OR=0.551), and long sleep duration≥6 h (6.0-7.9 h: OR=0.286;8.0-9.9 h: OR=0.203;≥10.0 h: OR=0.205) were protective factors (P<0.05). Conclusion Depression is found in 12.84% of elderlypatients with hypertension. The elderly patients with hypertension, who are male, age<90 years old, with low income andADL dysfunction, and sleep time<6 h, without physical exercise habits, are more likely to have depression.