| 健康生态学视角下我国中老年慢性病患者抑郁的影响因素分析 |
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| 引用本文： | 雷普超,吴洋洋,李玲玲,王庆志,叶睿雪,高洁,李麟华,周欢.健康生态学视角下我国中老年慢性病患者抑郁的影响因素分析[J].现代预防医学,2021,0(7):1253-1258. |
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| 作者姓名： | 雷普超 吴洋洋 李玲玲 王庆志 叶睿雪 高洁 李麟华 周欢 |
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| 作者单位： | 四川大学华西公共卫生学院/四川大学华西第四医院 健康行为与社会医学系，成都 610041 |
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| 摘 要： | 目的 基于健康生态学视角，探讨我国中老年慢性病患者抑郁的影响因素。 方法 数据来源于2018年中国健康与养老追踪调查，纳入年龄在45岁及以上中老年慢性病患者为研究对象，基于健康生态学模型，运用χ2检验和logistic回归分析中老年慢性病患者抑郁的影响因素。结果 共纳入研究对象5250名，抑郁发生率为40.84%，从个人特征看，女性、有肢体残疾、患多种慢性病、BADL受损、IADL受损是抑郁的危险因素；从行为方式看，晚间睡眠时长较长是抑郁的保护因素；从人际网络看，学历较高、对自身与子女关系满意、有社会参与是抑郁的保护因素，居住在农村、独居是抑郁的危险因素；从工作和生活条件看，从事农业工作是抑郁的危险因素，过去一年有收入、住房有洗澡设施是抑郁的保护因素。 结论 我国中老年慢性病患者抑郁发生率较高。抑郁影响因素是多层次、多维度的。应重视中老年慢性病患者心理状况，从个体到环境因素加强对慢性病患者抑郁的干预。
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| 关 键 词： | 健康生态学 中老年 慢性病患者 抑郁 |
The analysis of impact factors of depression among middle-aged and older chronic diseases patients in China based on health ecological aspect |
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| LEI Pu-chao,WU Yang-yang,LI Ling-ling,WANG Qing-zhi,YE Rui-xue,GAO Jie,LI Lin-hua,ZHOU Huan.The analysis of impact factors of depression among middle-aged and older chronic diseases patients in China based on health ecological aspect[J].Modern Preventive Medicine,2021,0(7):1253-1258. |
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| Authors: | LEI Pu-chao WU Yang-yang LI Ling-ling WANG Qing-zhi YE Rui-xue GAO Jie LI Lin-hua ZHOU Huan |
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| Affiliation: | Department of Health Behavior and Social Medicine, West China School of Public Health/West China Forth Hospital, Sichuan University, Chengdu,Sichuan 610041, China |
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| Abstract: | To explore the impact factors of depression among middle-aged and older chronic diseases patients based on health ecological aspect. Methods Data were extracted from 2018 China Health and Retirement Longitudinal Study. People aged 45 years and older with chronic diseases were included. X2 test and logistic regression were used to analyze the impact factors of depression in middle-aged and older patients with chronic diseases based on health ecological model. Results A total of 5 250 patients were included. The prevalence of depression was 40.84%. For individual factors, female, having physical disability, having more chronic diseases, having damaged BADL, having damaged IADL were the risk factors of depression. For behavioural factors, sleeping more was the protective factor of depression. For interpersonal factors, higher education level, satisfied with the relationship between them and their children, having social participation were the protective factors of depression. Living in rural area and living alone were the risk factors of depression. For working and living factors, having farm work was the risk factor of depression. Having income and having bathroom in house were the protective factors of depression. Conclusion The prevalence of depression among middle-aged and older chronic diseases patients in China is high. The impact factors are multi-level and multi-dimensional. Attention should be paid to the psychological status of middle-aged and older patients with chronic diseases, and the intervention of depression in patients with chronic diseases should be strengthened from individual to environmental factors. |
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| Keywords: | Health ecological Middle-aged and older Chronic disease patients Depression |
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