内蒙古自治区巴彦淖尔市农村中老年人骨关节炎与广泛性焦虑和抑郁的关系  

Associations between osteoarthritis and GAD/depression among rural middle-aged and elderly people in Bayannur,Inner Mongolia Autonomous Region

作　　者：叶嵘义 何玲玲[2] 王清秀 张磊 王娜 Ye Rongyi;He Lingling;Wang Qingxiu;Zhang Lei;Wang Na(School of Public Health,Guilin Medical College,Guilin 541000,China;Center for Disease Control and Prevention of Bayannur,Bayannur 015000,China)

机构地区：[1]桂林医学院公共卫生学院,广西桂林541000 [2]巴彦淖尔市疾病预防控制中心,内蒙古巴彦淖尔015000

出　　处：《中华地方病学杂志》2021年第11期893-897,共5页Chinese Journal of Endemiology

基　　金：国家自然科学基金(81760616、82160642)。

摘　　要：目的了解内蒙古自治区(简称内蒙古)巴彦淖尔市农村中老年人骨关节炎与广泛性焦虑(GAD)、抑郁的关系。方法2016-2018年,对巴彦淖尔市832名45周岁及以上的农村中老年人进行一对一访谈式问卷调查。采用logistic回归模型探究骨关节炎与GAD、抑郁的关系。结果832名中老年人群中,28.73%(239/832)为骨关节炎患者。患有骨关节炎者与无骨关节炎者相比,患GAD的可能性增加71%[调整后比值比(AOR):1.71,95%置信区间(95%CI):1.12~2.60],患抑郁症的风险增加68%(AOR:1.68,95%CI:1.10~2.58)。结论内蒙古巴彦淖尔市农村中老年人的骨关节炎患病率较高;骨关节炎可能增加GAD、抑郁的发病风险。需要采取相应干预措施,预防骨关节炎的发生,减少GAD、抑郁发病风险。Objective To investigate the relationship between osteoarthritis and generalized anxiety disorder(GAD)/depression among rural middle-aged and elderly people in Bayannur,Inner Mongolia Autonomous Region.Methods From 2016 to 2018,a one-to-one interview questionnaire survey was conducted among 832 rural middle-aged and elderly people aged 45 or above in Bayannur.Logistic regression model was used to explore the relationship between osteoarthritis and GAD/depression.Results Of 832 rural middle-aged and elderly participants,28.73%(239/832)were diagnosed with osteoarthritis.The risk of GAD and depression increased by 71%[adjusted odds ratio(AOR):1.71,95%confidence interval(CI):1.12-2.60]and 68%(AOR:1.68,95%CI:1.10-2.58),respectively,in patients with osteoarthritis compared with those without osteoarthritis.Conclusions The prevalence of osteoarthritis is high among the middle-aged and elderly people in Bayannur,Inner Mongolia Autonomous Region.Osteoarthritis may increase the risk of GAD/depression.It is necessary to take corresponding intervention measures to prevent the occurrence of osteoarthritis to reduce GAD/depression.

关 键 词：骨关节炎 农村中老年人 广泛性焦虑 抑郁 

分 类 号：R684.3[医药卫生—骨科学] R749[医药卫生—外科学]