60~74岁老年人儿童期成长环境与抑郁症状的关联

Association between childhood growing environment and depressive symptoms in old persons aged 60 to 74 years

目的:探讨60~74岁低龄老年人儿童期成长环境与抑郁症状的关联。方法:利用中国健康与养老追踪调查2018年第4轮调查和2014年生命历程调查数据,共纳入7642名60~74岁低龄老年人,采用简化版流行病研究中心抑郁症状自评量表评估研究对象抑郁症状,通过广义线性混合效应模型探讨儿童期成长环境与低龄老年人抑郁症状的关联。结果:低龄老年人抑郁症状检出率为37.2%,女性(OR=1.89)、农村(OR=1.35)、儿童期有饥饿经历(OR=1.22)、与男性扶养人关系不好(OR=1.72)、女性扶养人有因病卧床经历(OR=1.38)、社区不太安全(OR=1.59)、邻里关系比较融洽(OR=1.20)和邻里关系不太融洽(OR=1.81)是低龄老年人的抑郁症状发生的危险因素,人均家庭收入中等(OR=0.79)和高等(OR=0.50)、父亲受过教育(OR=0.84)是低龄老年人的抑郁症状发生的保护因素(均P<0.05)。结论:儿童期成长环境是低龄老年人抑郁症状的影响因素,应重视儿童期成长环境的远期健康效应。

Objective:To explore the association between childhood growing environment and depressive symptoms in young old persons aged 60 to 74 years.Methods:The data of the fourth wave of China Health and Retirement Longitudinal Study in 2018 and the life course survey in 2014 were used to secondary analysis.A total of 7642 young old persons aged 60 to 74 years were included,and the 10-item of the Center for Epidemiological Studies Depression(CES-D-10)scale was used to evaluate the depressive symptoms.The generalized linear mixed effects model was used to explore the relationship between childhood growing environment and depressive symptoms in the young old persons.Results:The detection rate of depressive symptoms occurrence in the young old persons was 37.2%.The risk factors of depressive symptoms included female(OR=1.89),rural(OR=1.35),having hunger experience(OR=1.22),poor relationship with male dependents(OR=1.72),female caregiver′s experiences of being bedridden due to illness(OR=1.38),community insecurity(OR=1.59),more harmonious neighborhood relationship(OR=1.20)and less harmonious neighborhood relationship(OR=1.81).The protective factors of depressive symptoms occurrence included moderate(OR=0.79)and high(OR=0.50)per capita household income,and educated father(OR=0.84)(P<0.05).Conclusion:Childhood growing environment is an influential factor of depressive symptoms in the young old persons.The long-term health effects of childhood environment should be paid attention to.