儿童期到成年期社会经济状况变动与老年人抑郁症状的关系研究  

Association between socioeconomic position mobility from childhood to adulthood and depressive symptom in older adults

作　　者：罗雅楠[1] 李懋 吴超超 金鑫 郑晓瑛[1] 

机构地区：[1]北京大学人口研究所,北京100871

出　　处：《中华疾病控制杂志》2018年第1期9-13,共5页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(71661167003);卫生行业科研专项(201302008);教育部长江学者奖励计划

摘　　要：目的研究儿童期到成年期社会经济状况变动与老年人抑郁症状发生风险的关系及其性别差异。方法研究对象为"2013年中国健康与养老追踪调查"中2 870名≥60岁老年人;调查内容包括一般特征、社会经济状况及老年抑郁症状状况等。采用x^2检验、Logistic回归进行统计分析。结果女性人群中,与儿童期到成年期社会经济状况维持"好"的老年人相比,社会经济状况维持"不好"(OR=2.37,95%CI:1.18~4.76,P=0.015)、由"好"变动到"不好"(OR=2.19,95%CI:1.03~4.66,P=0.042),由"不好"变动到"好"(OR=2.27,95%CI:1.04~4.93,P=0.039)的老年人抑郁症状风险均增加;男性人群中,各社会经济状况变动下抑郁症状发生风险差异无统计学意义(均有P>0.05)。结论儿童期到成年期社会经济状况变动与女性老年人群抑郁症状发生风险相关。Objective To study the relationship between socioeconomic position mobility from childhood to adult- hood and depressive symptom and its gender differences in older adults. Methods Using the dataset from China health and retirement longitudinal study, 2013, our study included 2 870 participants aged 60 and over. The survey concluded the general information, socioeconomic position and depressive symptoms of the participants. We used 2 test and Logistic regression to do the statistical analysis. Results In female group, compared with the group with socioeconomic position in stable high, the risk of depression symptom of the group with socioeconomic position in stable low, downward mobility, or upward mobility was increasing. Odds ratio （95% CI） for socioeconomic position in stable low（ OR = 2.37,95 % CI：1. 18- 4. 76, P = 0. 015 ）, downward mobility （ OR = 2. 19,95 % CI： 1.03-4. 66, P = 0. 042 ）, and upward mobility （ OR = 2. 27, 95% CI：1. 04-4. 93,P = 0. 039） , respectively. For male, the risk of depression symptom in different socioeconomic mobil- ity group had no statistic significant difference （ all P 〉 0. 05 ）. Conclusions There is an association between socioeconomic position mobility from childhood to adulthood and the risk of depression symptom in female older adults.

关 键 词：社会经济因素 抑郁症 老年人 性别因素 

分 类 号：R749.42[医药卫生—神经病学与精神病学]