2013年沈阳市农村老年人抑郁症状现状及其影响因素分析

doi:10.3969/j.issn.1006-3110.2018.07.002

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摘要目的了解沈阳市农村地区老年人抑郁症状现状及其影响因素,为维持和改善农村地区老年人心理健康提供科学依据。方法采用随机整群抽样方法,于2013年对抽取的沈阳市苏家屯的一个村中居住5年及以上、未患老年痴呆的65岁以上老人开展面访调查,收集其抑郁症状、认知功能状态、人口学特征、健康状况、个人生活方式及社会心理因素等方面的信息。采用logistic回归分析其影响因素。结果沈阳市农村地区老年人抑郁症状检出率为21.2%。二分类logistic回归分析结果显示,农村地区,与老年人抑郁症状有关的影响因素依次为自立(不好vs.好:OR=3.84,95%CI:1.64~9.03),慢性病罹患(有vs.无:OR=3.81,95%CI:1.80~8.07),娱乐活动参与(否vs.是:OR=3.72,95%CI:2.06~6.74),婚姻状况(离异/未婚/分居/丧偶vs.已婚/同居:OR=3.13,95%CI:1.67~5.88),担心跌倒(是vs.否:OR=2.79,95%CI:1.37~5.67),子女孝顺(否vs.是:OR=2.34,95%CI:1.19~4.62),睡眠质量(不好vs.好:OR=2.27,95%CI:1.27~4.08),经常看电视(否vs.是:OR=2.15,95%CI:1.14~4.03)。结论 2013年沈阳市农村无认知功能障碍老人的抑郁症状水平较高,其主要影响因素为健康状况和社会心理因素,人口学特征亦对其有一定影响。

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	吴义姣
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关键词 ：抑郁症状, 健康状况, 社会心理因素, 农村, 横断面研究

Abstract：Objective To investigate the prevalence of depressive symptoms and their risk factors among the rural elderly in Shenyang City, and to provide a scientific basis for maintaining and improving psychological health of the elderly in the rural area. Methods Random cluster sampling method was used to select a hamlet in Sujia Village, Shenyang City in 2013. A face-to-face interview was conducted among the elderly who had lived in the hamlet for 5 years and above, did not suffer from dementia and were 65 years of age or older. The information related to depressive symptoms, cognitive function, demographic characteristics, health status, personal lifestyle and social-psychological factors was collected, and the factors affecting depressive symptoms were determined by logistic regression analysis.Results The prevalence of depressive symptoms in the elderly in the rural area of Shenyang City was 21.2%. Binary logistic regression analysis showed that the factors affecting depressive symptoms of the elderly in the rural area were as follows: independent living ability (poor vs. good: OR=3.84, 95%CI:1.64-9.03), suffering from chronic diseases (yes vs. no: OR=3.81, 95%CI:1.80-8.07), participating in leisure activities (no vs. yes: OR=3.72, 95%CI:2.06-6.74), marital status (the divorced/unmarried/separated/widowed vs. the married/cohabitation: OR=3.13, 95%CI:1.67-5.88), being afraid of falling down (yes vs. no: OR=2.79, 95%CI:1.37-5.67), offspring’s filial piety (no vs. yes: OR=2.34, 95%CI:1.19-4.62), quality of sleep (poor vs. good: OR=2.27, 95%CI: 1.27-4.08), often watching TV (no vs. yes: OR=2.15, 95%CI: 1.14-4.03). Conclusions The depressive symptoms of the rural elderly with normal cognitive function in Shenyang City in 2013were severe. Health status and social-psychological factors played prominent roles in depressive symptoms, and demographic characteristics were also one of its risk factors.

Key words： depressive symptom health status social-psychological factor rural area cross-sectional study

收稿日期: 2017-07-11

R395.6

基金资助:国家自然科学基金(81102193)

通讯作者: 孙炜,E-mail:wsun@cmu.edu.cn。

作者简介: 吴义姣(1994-),女,硕士在读。

引用本文:

吴义姣, 张天娇, 郝无迪, 苏琳, 孙炜. 2013年沈阳市农村老年人抑郁症状现状及其影响因素分析[J]. 实用预防医学, 2018, 25(7): 773-776. WU Yi-jiao, ZHANG Tian-jiao, HAO Wu-di, SU Lin, SUN Wei. Current status of depressive symptoms and their risk factors among the rural elderly in Shenyang City, 2013. , 2018, 25(7): 773-776.

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