| 摘要: |
| 目的 探究抑郁症状老年人与非抑郁症状老年人的失能现状及其影响因素。方法 基于第8轮中国老年健康影响因素跟踪调查（CLHLS）项目获得的数据，纳入11 382名65岁及以上老年人，采用χ2检验分析老年人抑郁症状及人口学特征、社会学特征、生活方式、健康状况与失能状况的关联，利用二元logistic回归模型探索老年人失能的主要影响因素。结果 1 341名（11.78%）老年人出现抑郁症状，抑郁症状老年人的失能现象（29.90%，401/1 341）高于非抑郁症状老年人（20.09%，2 017/10 041）（P＜0.001）。性别、年收入、饮酒情况、慢性病数量在抑郁症状组与失能状况无明显关系，但在非抑郁症状组与失能状况存在明显关联（P均＜0.01）。对于非抑郁症状老年人，城市户籍、年龄≥80岁、BMI＜18.5 kg/m2或≥28.0 kg/m2、丧偶、居住于养老院、患2种或以上慢性病是其失能的危险因素（P均＜0.05），独居、锻炼和社交活动是其保护因素（P均＜0.001）；对于抑郁症状老年人，城市户籍、年龄≥80岁、BMI＜18.5 kg/m2或≥28.0 kg/m2、丧偶、患2种或以上慢性病是其失能的危险因素（P均＜0.05），独居和社交活动是其保护因素（P均＜0.001）。结论 抑郁症状老年人的失能现象高于非抑郁症状老年人，城市户籍、年龄≥80岁、BMI＜18.5 kg/m2或≥28.0 kg/m2、丧偶、患2种或以上慢性病是其失能的危险因素，独居和社交活动是其保护因素。 |
| 关键词: 老年人 抑郁症状 失能 危险因素 |
| DOI：10.16781/j.CN31-2187/R.20230234 |
| 投稿时间：2023-04-24修订日期：2023-11-05 |
| 基金项目:国家社会科学基金（2022-skjj-c-033，23BRK008）. |
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| Disability status and its influencing factors among elderly with depressive symptoms in China: based on the 8th CLHLS data |
| JIANG Qinqin1,FENG Mingming2,YUAN Lei1,LIU Lijuan1,HOU Bing3*,SUN Jinhai1* |
(1. Department of Health Management, Faculty of Health Services, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Anesthesiology, No. 982 Hospital of Joint Logistics Support Force of PLA, Tangshan 063000, Hebei, China;
3. Department of Health Care, The First Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding authors) |
| Abstract: |
| Objective To explore the disability status of the elderly with depressive symptoms or non-depressive symptoms and its influencing factors. Methods Based on the data of the 8th questionnaire of Chinese longitudinal healthy longevity survey (CLHLS), 11 382 elderly aged 65 years or older were enrolled. Chi square test was used to analyze the relationship between depressive symptoms, demographic characteristics, sociological characteristics, life style, health status and disability; and binary logistic regression analysis was used to explore the main influencing factors of disability in the elderly. Results Totally 1 341 (11.78%) participants had depressive symptoms; the disability of the elderly with depressive symptoms (29.90%, 401/1 341) was significantly higher than that of the elderly without depressive symptoms (20.09%, 2 017/10 041) (P＜0.001). Gender, annual income, alcohol use, or number of chronic diseases was not significantly correlated to disability status in the depressive symptom group, but there was a significant correlation with disability status in the non-depressive symptom group (all P＜0.01). For the elderly with non-depressive symptoms, urban, age≥80 years, body mass index (BMI)＜18.5 kg/m2 or ≥28.0 kg/m2, being widowed, living in a nursing home, and with 2 or more chronic diseases were risk factors for disability (all P＜0.05); and living alone and having exercise and social activities were protective factors (all P＜0.001). For the elderly with depressive symptoms, urban, age≥80 years, BMI＜18.5 kg/m2 or ≥28.0 kg/m2, being widowed, and with 2 or more chronic diseases were risk factors for disability (all P＜0.05), while living alone and having social activities were protective factors (both P＜0.001). Conclusion The disability of the elderly with depressive symptoms is more common than that of the elderly with non-depressive symptoms. Urban, age≥80 years, BMI＜18.5 kg/m2 or ≥28.0 kg/m2, being widowed, and with 2 or more chronic diseases are the risk factors for disability, while living alone and having social activities are protective factors. |
| Key words: elderly depressive symptoms disability risk factors |
