农村地区老年人社会支持与抑郁关系  

Association between depression and social support among older adults in rural communities of Hubei province

作　　者：白涛[1,2] 武丽[1,3] 姜雪锦[1,3] 高静[1,3] 曹中强[1,3] 王友洁[1,3] 

机构地区：[1]华中科技大学同济医学院公共卫生学院儿少卫生与妇幼保健学系,湖北武汉430030 [2]华中科技大学同济医学院附属协和医院 [3]华中科技大学同济医学院伤害控制研究中心

出　　处：《中国公共卫生》2012年第8期1044-1048,共5页Chinese Journal of Public Health

摘　　要：目的了解湖北省农村地区老年人抑郁情况及与社会支持的关系。方法于2010年6—11月在湖北省麻城市3个农村办事处,采用整群抽样方法每个办事处按村数50%共随机抽取17个村,对所有年龄≥60岁的老年人过去1年内抑郁发生情况及其相关因素进行问卷调查。结果老年人抑郁症状的检出率为27.6%(530/1 918),其中男性为27.1%(210/774),女性为28.0%(320/1144);控制年龄、性别等混杂因素后,家人需要您生活或经济上的支持和帮助(OR=0.36,95%CI=0.25～0.51)、朋友或其他人需要时给予精神上的支持和关心(OR=0.63,95%CI=0.43～0.92)是老年人抑郁的保护因素;家人需要您精神上的支持和关心(OR=2.71,95%CI=1.75～4.19)、家人需要时给予生活或经济上的支持和帮助(OR=1.82,95%CI=1.28～2.60)是老年人抑郁的危险因素。结论湖北省农村地区老年人抑郁问题值得重视,社会支持是抑郁发生的重要因素。Objective To estimate the prevalence of depression in rural community elderly and to explore the association between social support and depression.Methods A cross-sectional study was carried out in three rural communities（17 villages） in Macheng city of Hubei province.Subjects aged 60 years or older were selected with cluster sampling.A structured questionnaire was used to investigate the prevalence of depression and relevant factors among the eldely.Results Totally 210（27.1%） males and 320（28.0%） females were identified as depression based on Geriatric Depression Scale（GDS）,with a overall prevalence rate of 27.6%.After adjusting for potential confounding factors,requiring the subject’s practical support to the family（odds ratio=0.36,95% confidence interval：0.25-0.51）,giving required moral support to friends（OR=0.63,95%CI：0.43-0.92） were protective factors,while requiring subject’s moral support to the family（OR=2.71,95%CI：1.75-4.19）,giving required practical support to family（OR=1.82,95%CI：1.28-2.60） were risk factors of depression among the eldely.Conclusion High prevalence of elderly depression was boserved in the rural areas of Macheng city.Social support was an important influencing factor for elderly depression.

关 键 词：抑郁 老年人 社会支持 影响因素 

分 类 号：R181.37[医药卫生—流行病学]