更年期女性抑郁症状发生及其影响因素研究 ——基于2011-2020年CHARLS数据库的分析
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南京邮电大学

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积极老龄化视角下老年友好型社区构建研究


Research on the Prevalence and Influencing Factors of Depressive Symptoms in Menopausal Women ——An Analysis Based on CHARLS Database 2011-2020
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Nanjing University of Posts and Telecommunications

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Research on the Construction of Age-Friendly Communities from the Perspective of Active Aging

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    摘要:

    本文利用CHARLS 2011-2020年数据,选取基期2011年40~54岁、追踪期内至少参与过两次调查的更年期女性为研究对象,分析其抑郁症状发生及影响因素。对抑郁症状发生,先利用基期数据进行单因素分析,再利用追踪数据分别构建广义线性模型和广义线性混合模型进行多因素分析,并比较模型的拟合效果。结果表明:①基期数据发现,城乡、教育程度、婚姻状态、子女数、收入、睡眠、锻炼、自评记忆力、自评健康对我国更年期女性抑郁症状发生率的影响有显著差异。②追踪数据发现中国更年期女性的抑郁症状发生率呈现先减后增的“U”型趋势,且除上述变量外,出生队列、社交、绝经对更年期女性抑郁症状也有显著影响。③更年期女性抑郁症状的影响因素在不同出生队列间存在差异。基于此,建议应加强关注更年期女性的心理健康,提高其心理健康水平,并为不同群体提供差异化的心理健康支持。

    Abstract:

    This study utilizes survey data from CHARLS 2011–2020, selecting menopausal women aged 40–54 at baseline (2011) and including only those who participated in at least two of the five follow-up surveys. The analysis of depressive symptoms first involves a univariate analysis using the baseline data. Subsequently, both generalized linear model and generalized linear mixed model are constructed with the longitudinal data to perform multivariate analysis, and the goodness-of-fit of these models is compared. The results show that: ① Baseline data reveals significant differences in the incidence of depressive symptoms among menopausal women based on urban-rural residence, education level, marital status, number of children, income, sleep quality, exercise habits, self-rated memory, and self-rated health. ② Longitudinal analysis indicates a U-shaped trend in the incidence of depressive symptoms among Chinese menopausal women, initially decreasing and then increasing. In addition to the variables mentioned above, birth cohort, social engagement, and menopausal status were also found to have significant effects on mental health. ③ The influencing factors on mental health varies across different birth cohorts. Based on these findings, the study recommends to strengthen attention to the mental health of menopausal women, improve their psychological well-being, and provide differentiated mental health support for different demographic groups.

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  • 收稿日期:2025-09-05
  • 最后修改日期:2025-11-03
  • 录用日期:2025-11-07
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