农转非社区老年慢性病患者社会资本对抑郁症状的影响研究

  目的  了解社会资本对农转非社区老年慢性病居民抑郁症状的影响，探讨促进其心理健康的预防措施。  方法  采用多阶段分层整群抽样的方法，抽取成都和昆明老年慢性病居民740人，采用流调中心抑郁水平评定量表(CES-D)以及自编社会资本量表进行问卷调查。应用多因素非条件logistic回归分析农转非居民社会资本对抑郁症状的影响。  结果  自编社会资本量表的信效度较好。本次研究对象的抑郁症状发生率为24.9%。女性老年慢性病居民抑郁症状的发生率较高(P < 0.05)；高“社会信任与安全感”的居民发生抑郁症状的风险较低〔比值比(OR)=0.489〕，“社区归属感”得分较高的居民产生抑郁症状的风险较低(OR=0.570)，“社会支持”得分较高的居民出现抑郁症状的风险较低(OR=0.233)。  结论  应采取有针对性的手段对影响农转非社区老年慢性病居民抑郁症状的社会资本因素进行干预，以改善其心理健康水平。

The Effects of Social Capital on Depressive Symptoms of Elderly Patients with Chronic Diseases in Urbanized Communities

  Objective  To understand the effects of social capital on depressive symptoms of elderly patients with chronic diseases in urbanized communities, and to explore preventive measures to promote their mental health.  Methods  A multi-stage stratified cluster sampling method was used to extract 740 elderly patients with chronic diseases in the urbanized communities in Chengdu and Kunming. The questionnaire survey was conducted by using the center of depression rating scale (CES-D) and the self-made social capital scale. Multivariate unconditional logistic regression was used to analyze the impact of urbanized residents' social capital on depressive symptoms.  Results  The self-made social capital scale has good reliability and validity. The incidence of depressive symptoms in this study was 24.9%. The incidence of depressive symptoms in elderly females with chronic diseases was higher (P < 0.05); the residents with high "sense of social trust and security" had lower risk of incidence of depressive symptoms 〔odds ratio (OR)=0.489〕; the residents with higher "community belonging" had a lower risk of incidence of depressive symptoms (OR=0.570), and the residents with higher "social support" scores had a lower risk of incidence of depressive symptoms (OR=0.233).  Conclusion  Targeted measures should be taken to intervene in the social capital factors affecting the depressive symptoms of elderly patients with chronic diseases in urbanized communities to improve their mental health.