安徽省农村老年人抑郁症状及影响因素研究
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安徽医科大学卫生管理学院

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R563.3

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Study on depressive symptoms and influencing factors of the elderly in rural areas of Anhui Province
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School of Health Management,Anhui Medical University

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    摘要:

    以安徽省农村老年人为例,阐明农村老年人抑郁症状现况并探索可改进的危险因素,为老年人抑郁防治决策工作提供理论依据。采用多阶段随机抽样、入户调查的方法,使用一般人口学资料调查表、GDS量表对安徽省3349名农村常住老年人进行问卷调查。运用描述性分析、t检验、方差分析、c2检验、Logistic回归进行统计学分析。结果显示调查样本抑郁症状检出率为52.9%,其中,贫困组和非贫困组老年人分别为62.3%、47.6%;GDS得分为12.40±7.09,贫困组(14.05±6.93)高于非贫困组(11.47±7.01)。Logistic回归分析结果显示:贫困、高年龄、女性、文盲/半文盲、无职业状态、非独居、患慢性疾病种数越多、一年内住过院和两周内有身体不适抑郁检出率高;相较于经济来源为务农的老年人,外出务工和个体经营抑郁症状检出率低。贫困组和非贫困组老年人抑郁症状影响因素存在差异。安徽省农村老年人抑郁症状检出率较高,贫困老年人抑郁症状检出率高于非贫困老年人,抑郁症状与多种因素有关,对此应引起更多关注,给与老年人更多心理干预。

    Abstract:

    To take the rural elderly in Anhui Province as an example to clarify the current situation of depressive symptoms and to explore the risk factors, and so as to provide a theoretical basis for the decision-making work. A multi-stage random sampling and household survey method was used, 3349 rural elderly in Anhui Province were investigated by general demographic data questionnaire and GDS scale. Descriptive analysis, t-test, ANOVA, c2-test and logistic regression were used for statistical analysis. The prevalence of depressive symptoms was 52.9%, among which 62.3% and 47.6% were in poor group and non-poor group respectively; GDS score was 12.40±7.09, and the poor group (14.05±6.93) was higher than the non poor group (11.47±7.01). The results of logistic regression analysis showed that: poverty, increasing age, female, illiterate/semi-illiterate, no occupational status, not living alone, more kinds of chronic diseases, having lived in hospital within one year and had physical discomfort within two weeks, the detection rate of depressive symptoms was higher; compared with the old people whose economic source was farming, the detection rate of depressive symptoms of migrant workers and self-employed workers was lower. There were differences in the influencing factors of depression symptoms between the poor group and non-poor group. The prevalence of depressive symptoms of rural elderly in Anhui Province was higher, the prevalence of depressive symptoms in the poor elderly was higher than that in the non poor elderly. Depressive symptoms was associated with many factors, more attention should be paid to this situation and more psychological intervention should be given to the elderly.

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  • 收稿日期:2020-03-04
  • 最后修改日期:2020-04-03
  • 录用日期:2021-02-26
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