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王超, 钱雯, 刘春涛, 盛新春, 傅华, 戴俊明. 上海社区退休人员抑郁现况及影响因素分析[J]. 中国公共卫生, 2013, 29(12): 1748-1751. DOI: 10.11847/zgggws2013-29-12-10
引用本文: 王超, 钱雯, 刘春涛, 盛新春, 傅华, 戴俊明. 上海社区退休人员抑郁现况及影响因素分析[J]. 中国公共卫生, 2013, 29(12): 1748-1751. DOI: 10.11847/zgggws2013-29-12-10
WANG Chao, QIAN Wen, LIU Chun-tao.et al, . Prevalence of depression and its influencing factors among retirees in communities in Shanghai[J]. Chinese Journal of Public Health, 2013, 29(12): 1748-1751. DOI: 10.11847/zgggws2013-29-12-10
Citation: WANG Chao, QIAN Wen, LIU Chun-tao.et al, . Prevalence of depression and its influencing factors among retirees in communities in Shanghai[J]. Chinese Journal of Public Health, 2013, 29(12): 1748-1751. DOI: 10.11847/zgggws2013-29-12-10

上海社区退休人员抑郁现况及影响因素分析

Prevalence of depression and its influencing factors among retirees in communities in Shanghai

  • 摘要: 目的了解社区退休人员抑郁的患病状况及其影响因素,为实施社区干预提供基础资料。方法采用整群抽样方法抽取上海市某社区1 132名退休人员进行一般人口学资料、生活满意度量表(WHO-5)、老年抑郁简表(GDS-15)、社会支持量表和自我管理睡眠问卷调查,采用Epi Data 3.0软件建立数据库,SPSS 18.0软件进行统计分析。结果上海市某社区退休人员抑郁症状检出率为23.70%;单因素分析结果显示,抑郁与婚姻状态、年龄、文化程度、退休前职业类型、失眠、生活满意度和社会支持有关,差异有统计学意义(P<0.05),多因素非条件logistic回归分析结果显示,60~69岁(OR=0.53,95%CI=0.36~0.78)和70~80岁(OR=0.47,95%CI=0.28~0.79)、高中或同等学历及以上学历(OR=0.49,95%CI=0.30~0.80)、社会客观支持(OR=0.47,95%CI=0.33~0.68)是社区退休人员抑郁情况的保护因素;退休前职业为体力劳动者(OR=1.67,95%CI=1.02~2.75)、生活满意度较差者(OR=7.50,95%CI=4.69~11.99)为其危险因素。结论增加社会支持、提升生活满意度,控制失眠等可以减少社区退休人员抑郁情况的发生。

     

    Abstract: Objective To explore the prevalence of depression and its influencing factors among retirees in communities,and to offer basic data for community intervention.Methods The participants were selected with cluster sampling and general demographic scale,Geriatric Depression Scale-15(GDS-15),Well Being Index(WHO-5),Social Support Questionnaire and Self-Commitment Sleep Scale were used in the survey.The data were processed with EpiData 3.0 and analyzed with statistical package SPSS 18.0.Results The prevalence of depression symptoms was 23.7% among the community retirees.There were significant associations between depression and marital status,age,education level,insomnia,life satisfaction,and social support by univariate analysis(P<0.05).The results of multivariate logistic analysis indicated that the protective factors of depression symptoms included at the age of 60-69 years(odds ratio OR=0.53,95% confidence interval 95%CI=0.36-0.78),at the age of 70-80 years(OR=0.47,95%CI=0.28-0.79),high school or equivalent education background or above(OR=0.49,95%CI=0.30-0.80),and with objective social support(OR=0.47,95%CI=4.69-11.99),while the risk factors included manual labor history(OR=1.67,95%CI=1.02-2.75)and having worse life satisfaction(OR=7.50,95%CI=4.69-11.99).Conclusion Improving life satisfaction,increasing social support and reducing insomnia are helpful for the control of depression symptoms among community retirees.

     

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