Influencing factors of depressive symptoms among rural elderly patients with chronic diseases
WU Shaofeng1,2, WANG Suzhen1,2, ZHU Xiuyuan2, LI Jing1,2, FENG Meiling1,2, ZHANG Delin1,2
1. Institute of Traditional Chinese Medicine and Health Development, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi 330004, China; 2. Jiangxi University of Chinese Medicine, Nanchang, Jiangxi 330004, China
Abstract：Objective To investigate the influencing factors of depressive symptoms among rural elderly patients with chronic diseases in China, so as to provide insights into depression prevention and control among the rural elderly patients with chronic diseases. Methods The basic demographics, health status, and lifestyle of rural residents at ages of 65 years and older who had at least one chronic disease were retrieved from The Chinese Longitudinal Healthy Longevity Survey (CLHLS) database in 2018, and participants' depressive symptoms were assessed with The Center for Epidemiological Studies Depression-10 (CES-D-10) scale. Factors affecting the depressive symptoms were identified with a multivariable logistic regression model. Results Totally 5 146 rural elderly patients with chronic diseases were enrolled, including 2 373 men (46.11%) and 2 773 women (53.89%). The prevalence of depressive symptoms was 27.13%. Multivariable logistic regression analysis identified having two and more children (OR=0.614, 95%CI: 0.387-0.975), living alone (OR=1.450, 95%CI: 1.192-1.764), life satisfaction (general, OR=1.933, 95%CI: 1.651-2.264; low, OR=5.366, 95%CI: 3.488-8.254), self-assessed health status (general, OR=2.697, 95%CI: 2.284-3.185; poor, OR=5.338, 95%CI: 4.262-6.685), disability in instrumental activities of daily living (OR=1.592, 95%CI: 1.328-1.908), sleep duration (normal, OR=0.502, 95%CI: 0.429-0.586; too long, OR=0.494, 95%CI: 0.405-0.603), exercise (OR=0.721, 95%CI: 0.607-0.856), watching TV (OR=0.787, 95%CI: 0.664-0.933), and gardening activities (OR=0.781, 95%CI: 0.626-0.975) as factors affecting depressive symptoms among rural elderly patients with chronic diseases. Conclusions The prevalence of depressive symptoms was 27.13% among rural elderly patients with chronic diseases. Number of children, living style, life satisfaction, health status, sleep duration, exercise, watching TV, and gardening activities are associated with the development of depressive symptoms among rural elderly patients with chronic diseases.
[1] 中华人民共和国国家统计局.中华人民共和国2021年国民经济和社会发展统计公报[EB/OL].[2023-02-22].http://www.stats.gov.cn/xxgk/sjfb/zxfb2020/202202/t20220228_1827971.html. [2] 中华人民共和国国家卫生健康委员会.健康中国行动推进委员会办公室2019年7月29日新闻发布会文字实录[EB/OL].[2023-02-22].http://www.nhc.gov.cn/xcs/s7847/201907.shtml. [3] 黄雄昂,林坚,姜琇峰,等.社区老年人失能状况调查及影响因素分析[J]. 预防医学,2016,28(6):541-545. [4] 王雪辉. 中国慢性病老年群体脆弱性评价及特征研究[J].东北大学学报(社会科学版),2023,25(1):96-105. [5] 周鼒,潘玲玲,方亚.老年人心理社会因素与抑郁症状发生风险关系[J].中国老年学杂志,2019,39(16):4092-4094. [6] 陈晴,刘鲁蓉.城乡老年慢性病患者抑郁状况及影响因素分析[J].中国初级卫生保健,2022,36(2):111-115. [7] 陈向宇,钟节鸣,郭丽花,等. 社区管理糖尿病患者抑郁、焦虑状况及影响因素研究[J]. 预防医学,2019,31(7):683-687. [8] 陈蕾,伍成凯,彭成,等.我国45岁以上中老年人慢性病与抑郁症状的关联研究[J].医学与社会,2021,34(10):90-94. [9] 庄海林,贾丽娜,李丹,等.福州市社区老年慢性病患者抑郁症现状及影响因素调查研究[J].中国预防医学杂志,2019,20(9):803-807. [10] THEORELL-HAGLÖW J,BERGLUND L,JANSON C,et al.Sleep duration and central obesity in women:differences between short sleepers and long sleepers[J].Sleep Med,2012,13(8):1079-1085. [11] 冯笑,郭丽娜,刘堃.精简版流调中心抑郁量表在社区老年人中的信效度评价[J].中国现代医学杂志,2016,26(10):133-137. [12] 刘丹丹,刘习羽,刘慧敏,等.中国农村老年人抑郁现状及影响因素分析[J].郑州大学学报(医学版),2021,56(5):648-652. [13] FUKUNAGA R,ABE Y,NAKAGAWA Y,et al.Living alone is associated with depression among the elderly in a rural community in Japan[J].Psychogeriatrics,2012,12(3):179-185. [14] 张田. 我国新兴家庭情境对老年人心理健康的影响:兼谈“三助”结合老年心理援助体系的构建[J].南京师大学报(社会科学版),2017(6):105-111. [15] LIU H,FAN X,LUO H,et al.Comparison of depressive symptoms and its influencing factors among the elderly in urban and rural areas:evidence from the China Health and Retirement Longitudinal Study(CHARLS)[J/OL].Int J Environ Res Public Health,2021,18(8)[2023-02-22].https://doi.org/10.3390/ijerph18083886. [16] 张鲁玉,鲁頔,陈雪娇,等.河南省失能老年人抑郁现状及其影响因素分析[J].中国公共卫生,2021,37(11):1602-1606. [17] 史亚楠,官慧敏,孙秋华. 老年轻度认知障碍患者抑郁情绪对工具性日常生活能力的影响[J]. 预防医学,2018,30(3):221-225. [18] HUANG M,BLIWISE D L,HALL M H,et al.Association of depressive symptoms with sleep disturbance:a co-twin control study[J].Ann Behav Med,2022,56(3):245-256. [19] 吴义姣. 沈阳市城乡老年人群抑郁症状现状及影响因素的比较研究[D].沈阳:中国医科大学,2019. [20] WOOD C J,PRETTY J,GRIFFIN M.A case-control study of the health and well-being benefits of allotment gardening[J].J Public Health,2016,38(3):e336-e344. [21] 王泽军,季浏,褚昕宇.运动抗抑郁作用的神经营养假说[J].心理科学进展,2010,18(9):1458-1470.
