中国中老年人抑郁症状现状及影响因素分析

李甲森; 马文军

doi:10.11847/zgggws2017-33-02-02

中国中老年人抑郁症状现状及影响因素分析

doi: 10.11847/zgggws2017-33-02-02

李甲森,
马文军^,

北京大学医学部公共卫生学院, 北京 100191

详细信息

作者简介:
李甲森(1994-),男,河南漯河人,本科在读,研究方向:卫生经济学。

通信作者:
马文军,E-mail:mawenjun@bjmu.edu.cn

中图分类号: R395.6;R195
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- 被引次数: 0
出版历程
- 接收日期: 2016-02-16
- 刊出日期: 2017-02-10

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

LI Jia-sen,
MA Wen-jun^,

School of Public Health, Peking University, Beijing 100191, China

摘要

摘要: 目的了解中国中老年人抑郁症状现状及其影响因素，为改善中老年人抑郁发生状况提供政策依据。方法采用中国健康与养老追踪调查2013年数据，利用流调中心抑郁水平评定量表测评中老年人抑郁症状，运用二分类logistic模型、多元线性回归模型进行影响因素分析。结果我国中老年人31.2%（4 815/15 421）存在抑郁症状，中老年人抑郁量表评分为（7.83±5.78）分。各省份中老年人抑郁症状检出率差异有统计学意义（P<0.001），北京最低为4.3%（3/69），青海最高为56.8%（88/155）。多因素回归结果显示，女性、无配偶同居、文化程度较低、农村户口、西部地区、非党员、参与社会活动少、吸烟、不喝酒、慢性病数目多、IADL受损的中老年人抑郁量表评分高，有抑郁症状的几率高（均P<0.05）；随着年龄升高，抑郁状况先加重后减轻，分性别进行回归分析发现，女性有抑郁症状的几率在55.5岁达到高峰，男性在47.9岁达到高峰，女性的抑郁量表评分在57.9岁达到高峰，男性在55.4岁达到高峰。结论我国中老年人抑郁症状检出率较高，应对高危人群采取针对性预防和干预措施，促进中老年人心理健康公平、均衡发展。
- 抑郁 /
- 中老年人 /
- 影响因素
Abstract: Objective To analyze prevalence and influencing factors of depression symptom among middle-aged and elderly people in China and to provide evidences for making policy on depression prevention.Methods Using the data from the China Health and Retirement Longitudinal Survey (CHARLS,2013),depression symptom among middle-aged and elderly people was measured with the Center of Epidemiological Studies Depression Scale (CES-D) and binary logistic model and multivariate analysis model were adopted in the analyses.Results Among the middle-aged and elderly people surveyed,the average CESD-10 score was 7.83±5.78 and 31.2%(4 815/15 421)were detected with psycho-logical disorders.There was a significant difference in the detection rate of depression symptom among the participants living in different regions (P<0.001),with the lowest rate for the participants in Beijing municipality (4.3%,3/69) and the highest in Qinghai province (56.85%,88/155).Multivariate regression analysis showed that the female participants,the participants living alone,with low education,living in western China,with rural residential registry,not being a communist party member,less frequently involved in social activity,smoking,not consuming alcohol drinks,with more chronic diseases,and with impaired instrumental activity of daily living (IADL) were more likely to have high CESD-10 score and risk of depression symptom (all P<0.05).The detection rate of depression symptom increased first and then declined with the increment of age among the participants,with the highest detection rate among the man aged 47.9 years and the women aged 55.5 and the highest CESD-10 score among the man aged 55.4 years and the women aged 57.9 years,respectively.Conclusion The detection rate of depression symptom is relatively higher among middle-aged and elderly people in China and intervention measures to promote mental health should be implemented among the population.
- depression /
- middle-aged and elderly people /
- influencing factor

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