中国老年人抑郁症状现状及影响因素分析

Prevalence and influencing factors of depression symptom among elderly people in China

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

西安国际医学中心医院 ;

摘要
探索中国60岁及以上老年人抑郁症状现状及其影响因素,为改善老年人抑郁症状的发生提供理论依据。方法 采用2018年具有全国代表性的面对面家庭调查-中国健康与养老追踪调查,采用CESD10 条目简易量表测量抑郁症状。运用二分类 logistic 模型进行单因素和多因素的分析。结果 我国60岁及以上老年人抑郁症状的发生率为53.02%(95%CI:52.08%-53.95%)。多因素回归结果显示, 女性、文化程度较低、经济状况低、独居、吸烟、有残疾、身体痛和慢性病的中老年人发生抑郁症状的风险较高(P<0.001)。年龄因素方面,与60-65岁老年人相比,66-70岁的老年人有抑郁症状的风险较低(OR=0.74,95%CI:0.63-0.87),76岁及以上的老年人有抑郁症状的风险较高(OR=1.42,95%CI:1.17-1.72)。结论 中国60岁及以上老年人抑郁症状的发生率较高,影响因素分析为老年人抑郁的高危人群指明了方向,为有针对性的干预措施提供科学依据。
Abstract
Objective To explore the current status and influencing factors of depressive symptoms in the elderly aged 60 and over in China, and to provide a theoretical basis for improving the occurrence of depressive symptoms in the elderly. Methods The 2018 nationally representative face-to-face family survey-China Health and Senior Care Tracking Survey was used, and the CESD10 item simple scale was used to measure depression symptoms. The two-class logistic model is used for single-factor and multi-factor analysis. Results The incidence of depressive symptoms in the elderly aged 60 and above in my country was 53.02% (95% CI: 52.08%-53.95%). Multivariate regression results showed that middle-aged and elderly people with female, low education level, low economic status, living alone, smoking, disability, physical pain, and chronic diseases had a higher risk of depressive symptoms (P<0.001). In terms of age, compared with the elderly aged 60-65, the elderly aged 66-70 have a lower risk of depressive symptoms (OR=0.74, 95% CI: 0.63-0.87), and those aged 76 and above have The risk of depressive symptoms is higher (OR=1.42, 95%CI: 1.17-1.72). Conclusion The incidence of depressive symptoms in elderly people aged 60 and above is relatively high in China. The analysis of influencing factors points out the direction for high-risk groups of depression in the elderly and provides scientific basis for targeted intervention measures.
关键词
抑郁症状;老年人;影响因素;中国健康与养老追踪调查
KeyWord
Depressive symptoms; elderly; influencing factors; China Health and Retirement Longitudinal Study
基金项目
页码 612-615
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李方,李梅*,王莹. 中国老年人抑郁症状现状及影响因素分析 [J]. 国际精神病学杂志. 2022; 49; (4). 612 - 615.

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