中国50岁及以上人群社会参与度和抑郁的关联研究

目的探究我国50岁及以上人群社会参与度与抑郁发生的关系。方法利用世界卫生组织(world health organization,WHO)“全球老龄化与成人健康研究(study on global ageing and adult health,SAGE)”中国项目第一轮横断面数据,采用《疾病和有关健康问题的国际统计分类第十版》(international Classification of diseases,ICD-10)中的抑郁量表评价调查对象抑郁状况,社会参与度得分来自于研究对象参加社会活动的频率。采用Logistic回归分析模型分析社会参与度和抑郁的关系,按照年龄组、性别和地区进行分层分析。结果本研究一共纳入12196名调查对象,抑郁检出率为1.72%(95%CI:1.54%~2.00%)。调整年龄、性别、地区、文化程度、家庭收入、婚姻状况、体力活动和吸烟饮酒等因素后,多元分析结果显示社会参与度和抑郁发生相关(OR=0.94,95%CI:0.90~0.98,P=0.006)。在分层分析中,该关联只在城市、女性和50~60岁年龄组有统计学意义(均有P<0.05)。结论本研究发现社会参与度和抑郁的发生相关,提示通过采取针对性措施提高社会参与度有助于预防老年人抑郁。

Social engagement and depression among Chinese aged 50 years and older

  Objective   To investigate the association between social engagement and depression among Chinese aged 50 and over.   Methods   Cross-sectional data was collected from the World Health Organization(WHO) study on global ageing and adult health(SAGE) wave 1 in China. The International Classification of Diseases 10 th revision depression scale(ICD-10) was used to evaluate the depression status of the respondents and the score of social engagement originating the frequency of social activities of the research population. All models were stratified by age groups, gender and residence. The Logistic regression analyses model were performed to identify the association between social engagement and depression.   Results   A total of 12 196 participants were included. The detection rate of depression was 1.72%(95% CI:1.54%-2.00%).The negative association between social engagement and depression was obtained in the multiple regression(OR=0.94, 95% CI: 0.90-0.98, P=0.006) after adjusting the factors of age, sex, residence, education level, household income, marital status, physical activity level, smoking and drinking status. In stratified analysis, the association was only statistically significant in urban, female, and 50-60 age groups(all P < 0.05).   Conclusion   This study found significant association between social engagement and depression, indicating that pertinence measures may help prevent depression in elderly population by enhancing social engagement.