隔代抚养与老年人心理健康相关性的Meta分析

目的 对隔代抚养与老年人心理健康关系进行meta分析。 方法 检索PubMed、Embase、the Cochrane Library、Web of Science、中国知网、万方、维普等中英文数据库，收集关于隔代抚养对老年人心理健康影响的相关文献，检索时限为自建库起至2021年5月。对纳入文献进行质量评价及数据整理。所有数据均采用RevMan 5.4软件进行meta分析。结果 最终纳入20篇文献，总样本量69 974例。Meta分析结果显示:在认知功能（SMD = 0.32, 95%CI:0.28～0.36, P＜0.001）、生活满意度（SMD = 0.06, 95%CI:0.04～0.09, P＜0.001）及自评健康（SMD = 0.08, 95%CI:0.02～0.14, P = 0.010）评估中，隔代抚养组评估结果优于非隔代抚养组，呈正相关且有统计学差异；在抑郁状况（SMD = - 0.04, 95%CI: - 0.09～0.01, P = 0.150）评估中，隔代抚养组评估结果劣于非隔代抚养组，呈负相关且有统计学差异。亚组分析结果显示:与非隔代抚养组相比，国外隔代抚养组（SMD = 0.27, 95%CI:0.15～0.39, P＜0.001）；国内隔代抚养组（SMD = - 0.07, 95%CI: - 0.09～ - 0.05, P＜0.001）老年人抑郁状况差异具有统计学意义。祖父抚养组与祖母抚养组（SMD = - 0.32, 95%CI: - 0.40～ - 0.24, P＜0.001）；城镇抚养组与农村抚养组（SMD = - 0.23, 95%CI: - 0.30～ - 0.17, P＜0.001）抑郁状况差异具有统计学意义。结论 隔代抚养对老年人的认知功能、生活满意度及自评健康有维持和促进作用。国家、性别及地域是隔代抚养老年人抑郁状况的重要影响因素。

The correlation of grandparent caregivers and the mental health:a meta-analysis

Objective To systematically evaluate the relationship between grandparenting and the mental health of older grandparents. Methods The Chinese and English databases such as PubMed, Embase, the Cochrane Library, Web of Science, CNKI, Wanfang, and VIP were searched to collect relevant literature on the effects of intergenerational parenting on the mental health of older adults, and the search time frame was from the establishment of the database to May 2021. Quality evaluation and data collation were performed on the included literature. All data were analyzed using RevMan 5.4 software. Results Totally 20 references were included, and data of 69 974 cases were analyzed. Meta-analysis showed that the grandparent caregivers and cognitive function (SMD=0.32, 95%CI: 0.28 to 0.36, P<0.001), life satisfaction (SMD=0.06, 95%CI: 0.04 to 0.09, P<0.001) and self-reported health score (SMD=0.08, 95%CI: 0.02 to 0.14, P=0.010) were positively correlated, with statistically significant differences, which was better than that of the non-grandparent caregivers. The grandparent caregivers and depression status score (SMD=-0.04, 95%CI: -0.09 to 0.01, P=0.150) were negatively correlated, with statistically significant differences, which was worse than that of the non-grandparent caregivers. In the subgroup analysis, foreign grandparent caregivers (SMD=0.27, 95%CI: 0.15 to 0.39, P<0.001), Chinese grandparent caregivers (SMD=-0.07, 95%CI: -0.09 to -0.05, P<0.001), different gender (SMD=-0.32, 95%CI: -0.40 to -0.24, P<0.001), different region (SMD=-0.23, 95%CI: -0.30 to -0.17, P<0.001) showed statistically significant differences in depression status among older grandparents. Conclusion Grandparenting can maintain and promote cognitive function, life satisfaction, and self-rated health of older grandparents. Country, sex, and area are important factors affecting the depression of grandparent caregivers.