社区老年人久坐行为、社会参与度与抑郁的关系研究

目的 调查社区老年人久坐行为、社会参与度与老年抑郁之间关系。方法 在2020年6月至8月间选择安徽省合肥市4个社区的632名60岁及以上的人群为调查对象，使用一般资料调查表、久坐行为自评问卷、社会活动参与频率问卷及病人健康问卷抑郁量表对目标人群进行问卷调查，使用Pearson相关分析和logistic回归分析探讨社区老年人久坐行为、社会参与度与抑郁的关系。结果 社区老年人每天久坐行为时间为（6.88±1.98）h，社会参与度得分为（15.53±3.79）分，抑郁的检出率为11.6%；社区老年人抑郁与久坐行为呈现正相关，与社会参与度呈现负相关（P<0.05）；logistic回归分析显示，在校正社会人口学等变量后，久坐行为是抑郁的危险性因素［OR=2.029,95%CI（1.689~2.439）；P<0.001］；社会参与度是社区老年人抑郁的保护性因素［OR=0.795,95%CI（0.721~0.877）；P<0.001］。结论 社区老年人久坐行为水平普遍较高，久坐行为及社会参与度是老年人抑郁患病风险的重要影响因素，社区卫生保健人员可通过干预老年人群的久坐时长，鼓励老年人群多参与社会交往频率从而减少抑郁的患病风险。

The relationship between sedentary behavior,social participation and depression in community-dwelling elderly

To investigate the status of sedentary behavior among the elderly in the community，and to analyze therelationship between sedentary behavior，social participation and depression in the elderly. Methods From June to August2020，632 people aged 60 and above from 4 communities in Hefei City，Anhui Province were selected as the research objects.The General Information Questionnaire，Sedentary Behavior Self － Evaluation Questionnaire，Social Activity ParticipationFrequency Questionnaire and Patient Health Questionnaire were used to investigate the target population. Pearson correlationanalysis and logistic regression analysis were used to explore the relationship between sedentary behavior，social participationand depression. Ｒesults The daily sedentary behavior time of the elderly in the community was ( 6. 88 ± 1. 98) hours，thesocial participation score ( 15. 53 ± 3. 79) ，and the detection rate of depression was 11. 6% . There was a positive correlationbetween depression and sedentary behavior，and a negative correlation between depression and social participation ( P ＜ 0. 05). Logistic regression analysis showed that after adjusting for social demographics and other variables，sedentary behavior was arisk factor for depression ( OＲ = 2. 029，95% CI = 1. 689 － 2. 439，P ＜ 0. 001) ; social participation was a protective factor fordepression in the elderly in the community ( OＲ = 0. 795，95% CI = 0. 721 － 0. 877，P ＜ 0. 001) . Conclusion The level ofsedentary behavior of the elderly in the community is generally high. Sedentary behavior and social participation are importantfactors affecting the risk of depression in the elderly. Community health care workers can reduce the risk of depression byintervening in the sedentary time of the elderly and encouraging the elderly to participate more frequently in social interactions