摘要
目的 分析云南省农村老年人社会支持与抑郁的关系。方法 采用分层随机抽样方法抽取宜良县1 601名≥60岁老年人,采用社会支持评定量表测定其社会支持程度,采用老年抑郁量表测量其抑郁情况;并采用多因素Logistic回归法分析社会支持与抑郁的关系。结果 宜良县农村老年人社会支持总分为(33.21±6.255)分,其中客观支持得分、主观支持得分和对支持的利用度得分分别为(7.62±2.181)分、(18.46±3.818)分和(7.13±2.019)分;男性和人均收入较高者的社会支持总分和客观支持得分均高于女性和人均收入较低者(P<0.05);非独居者和文化程度较高者的社会支持总分、客观支持得分、主观支持得分和对支持的利用度得分均高于独居者和文化程度较低者(P<0.05)。老年人抑郁的发生率为20.2%,女性、独居者和低文化程度者的抑郁发生率高于男性、非独居者和高文化程度者(P<0.01);社会支持总分越低者其患抑郁的危险性越高(OR=0.885,P < 0.001)。结论 应加强对女性、独居、文化程度和收入水平较低的老年人的社会支持,从而提高其心理健康水平。
Objective To explore the association between social support and depression among older adults in rural Yunnan province. Methods Stratified sampling method was used to select a representative sample of 1601 people aged 60 years and over from Yi Liang County. The Social Support Rating Scale (SSRS) was applied to assess level of social support, and the Geriatric Depression Scale (GDS) was used to measure level of depression. Multivariate logistic regression was applied to analyze the relationship between social support and depression. Results Among the study population, the total social support score was (33.21±6.255), and the scores of objective support, subjective support and the utilization of support were (7.62±2.181),(18.46±3.818)and(7.13±2.019),respectively. Males and older adults with higher income had higher score of social support and objective support than their counterparts (P < 0.05). Older adults who didn't live alone and older adults with higher level of education had higher scores of social support, objective support, subjective support and the utilization degree of support than their counterparts (P < 0.05). The overall prevalence of depression among older adults was 20.2%. Female older adults, older adults who lived alone and less educated had higher prevalence of depression than their counterparts (P<0.001). The results of multivariate logistic regression analysis indicated that older adults with lower total social support score had higher probability of being depression(OR = 0.885,P < 0.001). Conclusion It is necessary to strengthen social support for female, solitary, less educated and poor older adults, so as to improve their mental health.
作者
杨家甜
马国玉
申静蓉
刘颖楠
吴超
李潇
蔡乐
YANG Jia-tian;MA Guo-yu;SHEN Jing-rong;LIU Ying-nan;WU Chao;LI Xiao;CAI Le(School of Public Health,Kunming Medical University,Kunming Yunnan 650500,China)
出处
《昆明医科大学学报》
CAS
2019年第6期48-52,共5页
Journal of Kunming Medical University
基金
国家自然科学基金资助项目(71663035)
云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2017FE467(-002)]
云南省高校科技创新团队支持计划[(2018)134]
昆明医科大学科技创新团队项目(CXTD201706)
关键词
老年人
农村
社会支持
抑郁
Older adults
Social support
Depression
Rural area
