文章摘要
荣 健,戈艳红,陈贵梅,丁 宏.安徽省农村老年人抑郁症状及影响因素研究[J].南京医科大学学报(社会科学版),2021,(1):29~35
安徽省农村老年人抑郁症状及影响因素研究
Investigation on depressive symptoms and influencing factors of the elderly in rural areas of Anhui Province
投稿时间:2020-04-03  
DOI:10.7655/NYDXBSS20210107
中文关键词: 老年人  农村  抑郁症状  安徽省
英文关键词: the elderly  rural area  depressive symptom  Anhui Province
基金项目:安徽省高校人文社会科学研究项目“精准扶贫视角下安徽省贫困人群医保制度安排研究”(SK2018A0165)
作者单位
荣 健 安徽医科大学卫生管理学院安徽 合肥 230032 
戈艳红 安徽医科大学卫生管理学院安徽 合肥 230032 
陈贵梅 安徽医科大学卫生管理学院安徽 合肥 230032 
丁 宏 安徽医科大学卫生管理学院安徽 合肥 230032 
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中文摘要:
      该研究以安徽省农村老年人为研究对象,分析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参考依据。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、老年抑郁量表(geriatric depression scale, GDS)对安徽省3 349名农村常住老年人(≥60岁)进行问卷调查。结果显示,样本老年人抑郁症状检出率为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)分,贫困组[(14.05±6.93)分]高于非贫困组[(11.47±7.01)分]。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;相较于务农的老年人,外出务工和个体经营者抑郁症状检出率低。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,给予老年人更多心理干预。
英文摘要:
      This study took the rural elderly in Anhui Province as the research object, analyzed the current situation of depressive symptoms and explored the risk factors, which provided a reference basis for the decision?making work. The method of multi?stage random sampling and household survey was used, 3 349 rural elderly (≥ 60 years old) in Anhui were investigated by general demographic and geriatric depression scale (GDS). The results showed that 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)。Logistic regression analysis showed that the detection rate of depression with 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 having physical discomfort within two weeks was higher; compared with the farming elderly, 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 non?poor elderly. Depressive symptoms were related to many factors, which should be paid more attention and given more psychological intervention to the elderly.
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