中国慢病老年人抑郁现状与影响因素分析

目的 研究中国城乡慢病老年人的抑郁现状及影响因素。方法 以2015年CHARLS 数据库中3 194名60岁及以上的慢病老人为研究对象，利用二分类logistic回归模型研究城乡慢病老年人的抑郁现状与影响因素之间的关系。结果 慢病老人的抑郁症状有城乡差异（χ2 = 66.374，P＜0.001）,其中城镇组的抑郁率为28.9%，农村组为44.6%。多因素分析显示，城市组特有的保护因素有年龄≧75岁（OR = 0.50,95%CI = 0.29～0.83）,农村组特有的危险因素有女性(OR = 1.89,95%CI = 1.53～2.33)、65～69岁(OR = 1.50,95%CI = 1.19～1.90)、3种慢病(OR = 1.59,95%CI = 1.21～2.09)、3种慢病以上（OR = 2.52,95%CI = 1.84～3.47）、独居(OR = 1.30,95%CI = 1.02～1.56)。结论 我国农村慢病老人相比城镇组抑郁检出率高，应针对高危人群采取预防控制措施，以促进慢病老人身心健康公平、均衡发展。

Depression and its influence factors in the elderly with chronic disease in China

To study the depression and its influences of the elderly with chronic diseases in China. Methods 3194elderly individuals aged 60 and above with chronic diseases in 2015 CHARLS database were took as the object, therelationship between depression and influences was explored by using the logistic model. Results The depression wasdifferent between urban (28.9%) and rural (44.6%) areas (χ2=66.374, P<0.001). Multivariate analysis showed that the protectivefactors in the urban group were age more than 75 (OR=0.50, 95%CI=0.29-0.83). Rural unique set of risk factors had female (OR=1.89, 95%CI=1.53-2.33), 65-69 years old (OR=1.50, 95%CI=1.19-1.90), 3 chronic diseases (OR=1.59, 95%CI=1.21-2.09),more than 3 chronic diseases (OR=2.52, 95%CI=1.84-3.47), and living alone (OR=1.30, 95%CI=1.02-1.56). Conclusion Thesituation of depression in rural areas is higher than the urban group, so appropriate preventive and control measures shouldbe taken for the high-risk groups to promote the balanced development of physical and mental health of the elderly withchronic diseases