健康相关社会资本对中老年社区居民抑郁症状的影响  

The effect of health-related social capital on depressive symptoms in middle-aged and elderly residents

作　　者：马天佩 高博[2] 杨淑娟[2] 任晓晖[2] 李宁秀[2] MA Tian-pei;GAO Bo;YANG Shu-juan;REN Xiao-hui;LI Ning-xiu(Laboratory of Aging and Cancer,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院衰老与肿瘤研究室,四川成都610041 [2]四川大学华西公共卫生学院/四川大学华西第四医院健康与社会行为学系,四川成都610041

出　　处：《现代预防医学》2020年第19期3526-3529,共4页Modern Preventive Medicine

基　　金：国家自然科学基金青年科学基金项目(71603176)。

摘　　要：目的研究中老年社区居民群体健康相关社会资本对抑郁症状的影响,为提升其心理健康水平提供依据。方法采用多阶段分层整群抽样的方法,抽取成都市中老年居民1432人进行问卷调查。抑郁症状采用流调中心抑郁水平评定量表(CES-D),健康相关社会资本由自编社会资本量表测量。应用多因素logistic回归分析中老年居民社会资本对其抑郁症状的影响。结果中老年社区居民抑郁症状发生率为25.4%。不同性别、婚姻状况、文化程度、工作状况、健康状况的中老年人社会资本不同(P<0.05);在控制人口学特征、健康危险因素等变量的情况下,家庭关系较好的中老年人产生抑郁症状的可能性较低(OR=0.555,95%CI:0.429~0.720)、社区信任与归属感得分较高的老年人产生抑郁症状的可能性较低(OR=0.726,95%CI:0.553~0.952)。结论家庭关系、社会归属与信任感是影响社区中老年居民心理健康的主要社会资本因素,应对影响居民抑郁症状的因素采取有针对性的措施进行干预。Objective To understand the impact of health-related social capital on depressive symptoms in middle-aged and elderly community residents,and to explore preventive measures to promote their mental health.Methods A multi-stage stratified cluster sampling method was used to extract 1432 residents aged 40 and over in Chengdu.The questionnaire was conducted by using the Center of Epidemiologic Studies Depression Scale(CES-D)and the self-made health-related social capital scale.Multivariate unconditional logistic regression was used to analyze the impact of health-related social capital on depressive symptoms in middle-aged and elderly residents.Results The incidence of depressive symptoms in this study was 25.4%.The health-related social capital of middle-aged and elderly people with different genders,marital status education,working status,and health status was different(P<0.05).After controlling demographic characteristics,health risk factors,the participants with good family relationship had a lower risk of depressive symptoms(OR=0.555,95%CI:0.429~0.720);and residents with higher community trust and belonging scores were less likely to suffer depressive symptoms(OR=0.726,95%CI:0.553~0.952).Conclusion Family relationship and Community trust and belonging scores were the main social capital factors that affected the depression symptoms of middle-aged and elderly residents in the community.Targeted measures should be taken to intervene the factors affecting the mental health of residents.

关 键 词：中老年人 抑郁症状 社会资本 CES-D 

分 类 号：R749.4[医药卫生—神经病学与精神病学]