北京市社区老年人抑郁的影响因素

发布时间：2018-07-12 09:32

本文选题：抑郁 + 失禁　；参考：《中国老年学杂志》2017年04期

【摘要】：目的了解北京市社区老年人的抑郁现状及影响因素。方法利用2010北京市城乡老年人口状况追踪调查北京市数据,描述3 235名老年人的基本人口学特征、家庭状况和抑郁现状,采用单因素分析和多元Logistic回归分析社区老年人抑郁的影响因素。结果城市、不能自理、失禁、家庭不和睦、家庭经济困难的老人发生抑郁比值比分别是农村、能自理、无失禁、家庭和睦、家庭经济宽裕老人的1.44倍(95%CI:1.05~1.96),2.51倍(95%CI:1.52~4.14),2.04倍(95%CI:1.44~2.88),3.76倍(95%CI:1.87~7.56)和3.70倍(95%CI:2.17~6.31)。家庭儿女不孝顺、一般孝顺的老人发生抑郁的比值比分别是家庭儿女孝顺的3.15倍(95%CI:1.52~6.53)和2.33倍(95%CI:1.70~3.21);自评健康差、一般老人发生抑郁的比值比分别是自评健康好的6.96倍(95%CI:4.43~10.93)和2.88倍(95%CI:1.91~4.33)。结论户籍、日常生活自理能力(ADL)、失禁、家庭儿女孝顺、家庭和睦情况、自评健康、家庭经济状况可能是社区老年人发生抑郁的危险因素,建议提升老年人的身体健康,倡导家庭和睦与孝文化,可有助于预防和降低老年人发生抑郁的风险。
[Abstract]:Objective to investigate the depression status and influencing factors of the elderly in Beijing community. Methods the basic demographic characteristics, family status and depression status of 3 235 elderly people were described by using the data of 2010 urban and rural elderly population in Beijing. Univariate analysis and multiple logistic regression analysis were used to analyze the influencing factors of depression in the elderly in community. As a result, in urban areas, the ratio of depression in the elderly who could not take care of themselves, incontinence, family disharmony and family financial difficulties were rural, self-care, no incontinence, family harmony, 1.44 times (95CI: 1.05 1.96) 2.51 times (95CI1.524.14) 2.04 times (95CI1.442.88) 3.76 times (95CIw 1.877.56) and 3.70 times (95CI2.177.31). The ratio of depression to depression was 3.15 times of that of family filial piety and 2.33 times of that of family filial piety (95CI: 1.52 / 6.53) and 2.33 times (95CI: 1.703.21) respectively, and the ratio of depression to self-rated health was 6.96 times (95CI: 4.4310.93) and 2.88 times (95CI: 1.9114.33) respectively. Conclusion Household registration, daily life self-care ability (ADL), incontinence, filial piety of family children, family harmony, self-assessment of health and family economic status may be the risk factors of depression among the elderly in the community. Promoting a culture of family harmony and filial piety can help prevent and reduce the risk of depression in the elderly.
【作者单位】：北京大学人口研究所;
【基金】：卫生行业科研专项项目(201302008)
【分类号】：R749.4

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