| 刘文婷,李红旗,卞娜娜,等.安徽省老年人群抑郁状态的影响因素调查[J].中国临床保健杂志,2024,27(5):655-659. |
| 安徽省老年人群抑郁状态的影响因素调查 |
| Study on the influencing factors of depression among elderly population in Anhui province |
| 投稿时间：2023-11-24 |
| DOI：10.3969/J.issn.1672-6790.2024.05.019 |
| 中文关键词: 抑郁 危险因素 保护因素 横断面研究 老年人 |
| 英文关键词: Depression Risk factors Protective factors Cross-sectional studies Aged 〖FL |
| 基金项目:安徽省自然科学基金项目(2303085MH239) |
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| 中文摘要: |
| 目的 了解安徽省老年人群抑郁状态临床特征,探索老年人抑郁状态相关影响因素。方法2019年9月通过多阶段分层抽样的方法对安徽省老年人群进行问卷调查,调查内容包含社会人口学特征、生活方式、营养状况及慢性病情况。抑郁状态评价应用简版老年抑郁量表(GDS-15)。调查数据应用χ2检验和logistic回归分析。结果 共纳入研究3 042名老年人,总抑郁状态比例为21.76%。皖南地区抑郁状态检出率低于皖北、皖中地区(P＜0.05)。只有商业保险和无任何医疗保险老年人群的抑郁状态检出率明显较高(P＜0.05)。经常体育锻炼(P＜0.05)、良好的睡眠治疗(P＜0.05)及营养状况良好(P＜0.05)的老年人抑郁状态检出率明显较低。二元logistic回归分析结果显示,独居(OR=0.70,95%CI:0.56~0.87,P＜0.05)和经常饮酒(OR=0.51,95%CI=0.42~0.63,P＜0.05)是老年人抑郁状态的危险因素；经常体育锻炼(OR=1.27,95%CI:1.06~1.53,P＜0.05)、良好的睡眠质量(OR=1.59,95%CI:1.32~1.91,P＜0.05)和营养状况良好(OR=0.54,95%CI:0.34~0.85,P＜0.05)是老年人抑郁状态的保护因素。结论 安徽省老年人群抑郁状态患病率较高。经常体育锻炼、良好的睡眠状况、良好的营养状况是抑郁状态的保护因素。 |
| 英文摘要: |
| Objective To investigate the clinical characteristics of depression in the elderly population in Anhui province and explore the related influencing factors.Methods In September 2019,a multi-stage stratified sampling method was employed to conduct a questionnaire survey on the elderly population in Anhui province,covering sociodemographic characteristics,lifestyle,nutritional status,and chronic diseases.Depression status was assessed using the Geriatric Depression Scale (GDS-15).The survey data were analyzed using χ2 test and logistic regression.Results A total of 3 042 elderly people participated in the study,with an overall depression rate of 21.76%.The detection rate of depression was found to be lower in south Anhui compared to north Anhui and middle Anhui (P<0.05).Additionally,it was significantly higher among those with commercial insurance or no medical insurance (P<0.05).Furthermore,engaging in physical exercise (P<0.05),receiving good sleep treatment (P<0.05),and maintaining good nutritional status (P<0.05) were associated with a significantly reduced detection rate of depressive state among the elderly.Binary logistic regression analysis revealed that living alone (OR=0.70,95%CI:0.56-0.87,P<0.5) and alcohol consumption(OR=0.51,95%CI=0.42-0.63,P＜0.05)were risk factors for depression among the elderly while physical exercise(OR=1.27,95%CI:1.06-1.53,P＜0.05),good sleep quality(OR=1.59,95%CI:1.32-1.91,P＜0.05),and good nutritional status(OR=0.54,95%CI:0.34-0.85,P＜0.05)were protective factors against depression.Conclusions The prevalence of depression is high among the elderly population in Anhui province,and engaging in physical exercise,receiving good sleep,and maintaining good nutrition may serve as protective factors against depression. |
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