上海市石门二路社区60岁及以上居民抑郁症状影响因素分析  

An analysis of relevant factors for depressive symptoms in residents aged 60 and over in Shimen Erlu Community of Shanghai

作　　者：刘春辉[1] 刘申[2] 季建林[3] 

机构地区：[1]复旦大学上海医学院全科医学系上海市静安区石门二路社区卫生服务中心,上海200041 [2]上海市静安区石门二路社区卫生服务中心 [3]复旦大学附属中山医院

出　　处：《中华全科医师杂志》2008年第1期16-18,共3页Chinese Journal of General Practitioners

基　　金：基金项目：上海市卫生局医学重点社区项且资助（051026）

摘　　要：目的探讨社区60岁及以上居民抑郁症状发生情况及影响因素。方法采用整群抽样方法选取4个居委，应用老年抑郁量表、一般情况表对入选的60-89岁居民进行评定，以SPSS13．0软件处理数据，运用logistic回归分析法对其影响因素进行分析。结果1731名居民完成评定，有297名居民被检出抑郁症状，检出率17．2％。经多因素回归分析，发现7个相关影响因素：家庭开支，居住形式，慢性疾病自我评价，家庭支持，业余爱好，生活自理能力，参与社区活动。结论独居、家庭开支不足、生活自理能力障碍、业余爱好缺乏、社区活动参与少、家庭支持少、自我评价慢性病严重等，与抑郁症状发生相关。Objective It aims to investigate prevalence of depressive symptoms among the elderly in community and to understand their related social factors. Methods Four neighborhood committees were randomly selected with cluster sampling as survey sites. Enrolled residents at age of 60 to 89 years were evaluated with a general background inventory and a geriatric depression scale （GDS）. All the data were input to a microcomputer and were analyzed for its relevant factors with SPSS13.0 software by multivariate logistic regression model. Results Totally, 1731 elderly people in the community were interviewed and rated with the inventory and scale mentioned above, and depressive symptoms were found in 297 of them, with prevalence of 17.2 percent. Multivariate logistic regression analysis showed that there were seven factors associated to their depressive symptoms in the elderly, including family expenditure, housing condition, medical condition, familial support, hobbies in spare-time, ability to take care of oneself and participation to social activities. Conclusions A few social factors, such as living alone, insufficient income for family expenditure, disability of self care-taking, lack of hobby in spare-time, less participation to social activities, lack of familial support and severe chronic diseases by self-evaluation, are all associated with depressive symptoms in the elderly.

关 键 词：社区卫生服务 老年人 抑郁障碍 

分 类 号：R74[医药卫生—神经病学与精神病学]