摘要
目的:调查海南百岁老年人抑郁患病现状,分析百岁老年人抑郁的主要关联因素。方法:2014年6月至2016年12月,采用上门入户的调查方式对海南省910例(男性166例,女性744例)百岁老年人进行横断面调查。由经系统培训的调查员通过简版老年抑郁量表(GDS-15)对百岁老年人抑郁状况进行评估,同时采集该人群一般人口学信息、睡眠质量、认知功能、日常生活自理能力和生活方式等资料。采用多因素Logistic回归模型分析百岁老年人抑郁的主要关联因素。结果:在910例百岁老年人中,292例为抑郁,其患病率为32.1%。单因素分析显示,不同性别、文化程度、婚姻状况、健康自评、大小便失禁情况、饮食习惯、睡眠质量、日常活动能力、认知功能、锻炼情况、看电视情况和社会参与度的百岁老年人抑郁患病情况差异具有统计学意义(均P<0.05)。多因素Logistic回归分析显示,居住类型、健康自评、日常活动能力和睡眠质量是百岁老年人抑郁的主要关联因素(均P<0.05);其中与家人同居(OR=0.50,P=0.026)和良好睡眠质量(OR=0.67,P=0.010)为百岁老年人抑郁状态的保护因素,而健康自评差(OR=3.34,P<0.001)和失能(OR=2.37,P=0.002)为百岁老年人抑郁的危险因素。结论:百岁老年人抑郁与居住类型、健康自评、日常活动能力和睡眠质量独立相关,本研究为该人群抑郁干预与心理健康促进提供理论依据。
Objective To investigate the prevalence of depression and to analyze its determinants among centenarians in Hainan.Methods A cross-sectional study on centenarians was conducted in Hainan from June 2014 to December 2016.A total of 910 centenarians,including 166 males and 744 females,were interviewed in their domiciles by trained investigators.A 15-item Geriatric Depression Scale(GDS-15)was used to assess depression for centenarians,and general sociodemographic details,sleep quality,cognitive function,activities of daily living,and lifestyles were recorded.Multivariate logistic regression analysis was used to determine major related factors for depression in centenarians.Results Of the 910 centenarians,292 were regarded as depressed and the prevalence was 32.1%.Univariate analysis showed that there were significant differences in gender,education,marital status,self-reported health,incontinence,dietary habits,sleep quality,activities of daily living,cognitive function,outdoor activities,watching TV,and social engagement between subjects with and without depression(P<0.05).Multivariate logistic regression analysis showed that living conditions,self-reported health,activities of daily living,and sleep quality were independent related factors for depression in centenarians(P<0.05).Among the above related factors,living with families(OR=0.50,P=0.026)and good sleep quality(OR=0.67,P=0.010)were protective factors for depression,whereas poor self-reported health(OR=3.34,P<0.001)and disability(OR=2.37,P=0.002)were risk factors for depression in centenarians.Conclusions Living conditions,self-reported health,activities of daily living,and sleep quality were independently correlated with depression in Hainan centenarians.This study provides empirical evidence for depression interventions and mental health improvement in centenarians.
作者
甯超学
姚尧
陈小萍
朱乔
于帅
王娜
吕发勤
刘琼
何耀
张福
栾复新
赵亚力
Ning Chaoxue;Yao Yao;Chen Xiaoping;Zhu Qiao;Yu Shuai;Wang Na;Lyu Faqin;Liu Qiong;He Yao;Zhang Fu;Luan Fuxin;Zhao Yali(Central Laboratory of Hainan Branch of Chinese PLA General Hospital,Sanya 572000,China;Center for Healthy Aging and Development Studies,National School of Development,Peking University,Beijing 100871,China;Institute of Geriatrics,Beijing Key Laboratory of Research on Aging and Related Disease,National Clinical Research Center for Geriatric Diseases,Chinese People’s Liberation Army General Hospital,Beijing 100853,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2020年第4期462-466,共5页
Chinese Journal of Geriatrics
基金
国家重点研究计划(218YFC2000400)
国家自然科学基金(81903392,81941021)
国家科技资源共享服务平台计划项目(YCZYPT[2018]07)
解放军总医院医疗大数据研发项目(MBD2018030)
中国博士后科学基金(2019M650359)。
关键词
百岁老年人
抑郁
因素分析
统计学
Centenarians
Depression
Factor analysis
statistical
