老年人社会活动参与、自评健康和抑郁的关系研究  

Study on the Relationship between Social Activity Participation,Self-rated Health and Depression of the Elderly

作　　者：安榕婧 平卫伟 AN Rongjing;PING Weiwei(Department of Prevention Medicine,Changzhi Medical College,Changzhi,Shanxi,046000,China)

机构地区：[1]长治医学院公共卫生与预防医学系,山西长治046000

出　　处：《中国社会医学杂志》2022年第3期338-342,共5页Chinese Journal of Social Medicine

基　　金：山西省软科学研究项目(2017041040-4);山西省软科学研究项目(2018041033-1)。

摘　　要：目的了解老年人抑郁的影响因素,探究老年人社会活动参与、自评健康与老年人抑郁之间的关联。方法利用2015年中国健康与养老全国追踪调查(CHARLS)数据,筛选出老年人社会活动参与、自评健康、老年人抑郁等相关信息,运用二分类Logistic回归进行多因素分析,同时使用Logistic预测准确度分析探究社会活动参与、自评健康与抑郁之间的关系。结果在3940例调查样本中,老年人居住在城镇(OR=0.654;95%CI0.549~0.779)、自评健康状况好(OR=0.218;95%CI0.162~0.294)、记忆力好(OR=0.417;95%CI0.310~0.561),参与社会活动(OR=0.72895%CI0.629~0.843)是抑郁的保护因素。同时预测准确度分析显示社会活动参与联合自评健康对抑郁发生风险的预测准确度为72.7%,与其他分组相比更高。结论农村老年人的心理健康水平需要引起更多关注,加强老年人的记忆力能够降低抑郁的发生风险,鼓励老年人积极参加社会活动,同时提高其自评健康可以有效预防抑郁的发生。Objective To study the factors that affect the depression of the elderly,to explore the relationship between social activity participation,self-rated health and depression of the elderly.Methods The 2015 China Health and Retirement Longitudinal Study(CHARLS)data was used to filter out relevant information on the participation in social activities,self-rated health,and depression of the elderly.Multivariate analysis was conducted by binary logistic regression.At the same time,logistic prediction accuracy analysis was used to explore the relationship between social activity participation,self-rated health and depression.Results The elderly living in cities and towns(OR=0.654;95%CI:0.549-0.779),having good self-rated health status(OR=0.218;95%CI:0.162-0.294)and good memory(OR=0.417;95%CI:0.310-0.561),and participating in social activities(OR=0.728;95%CI:0.629-0.843)showed lower risk of depression.At the same time,the prediction accuracy analysis showed that the prediction accuracy of social activities participating in the joint self-rated health on the risk of depression was 72.7%,which was higher than other groups.Conclusion It is necessary to pay more attention to the mental health level of the elderly in rural areas.Strengthening the memory of the elderly can reduce the risk of depression.Encouraging the elderly to actively participate in social activities and improving their self-rated health can effectively prevent the occurrence of depression.

关 键 词：抑郁 老年人 社会活动 自评健康 

分 类 号：R212.7[医药卫生—中医学] B844.4[哲学宗教—发展与教育心理学]