老年人抑郁症状与健康促进行为的相关性研究——基于结构方程模型  

Correlation between depressive symptoms and health promotion behavior in the elderly—based on structural equation model

作　　者：于吉庆 吴永军[2] 张悦[2] 何昱铮 蔡雨彤 郑建中 佟岩 YU Ji-qin;WU Yong-jun;ZHANG Yue;HE Yu-zheng;CAI Yu-tong;ZHENG Jian-zhong;TONG Yan(Department of Social Medicine,School of Public Health,Shanxi Medical University,Taiyuan 030001,China;Department of Chronic Disease Control,Shizuishan Center for Disease Control and Prevention,Shizuishan 753000,China)

机构地区：[1]山西医科大学公共卫生学院社会医学教研室,太原030001 [2]石嘴山市疾病预防控制中心慢性病防制科,石嘴山753000

出　　处：《中华疾病控制杂志》2022年第9期1072-1077,共6页Chinese Journal of Disease Control & Prevention

基　　金：宁夏回族自治区自然科学基金(2020AAC03504)。

摘　　要：目的探讨老年人抑郁症状与健康促进行为的相关关系,为完善老年人心理干预措施提供参考。方法采用随机整群抽样的方法,于2021年5月6日―7月31日对宁夏回族自治区1949名老年人展开调查,应用抑郁症筛查量表-9(Patient Health Questionnare-9,PHQ-9)和健康促进生活方式自评量表(Health Promoting Lifestyle Profile,HPLP-C)进行测评,利用χ^(2)检验、二元logistic回归分析模型探讨抑郁症状的影响因素并建立抑郁症状与健康促进行为的结构方程模型。结果共有1937人有效完成问卷,其中760人有抑郁症状。二元logistic回归分析模型显示:年龄越大、女性、健康行为等级为不健康的老年人更容易出现抑郁症状(均有P<0.05)。结构方程模型中健康责任(β=0.20)与抑郁症状呈正相关,自我实现(β=-0.15)、人际关系(β=-0.06)与抑郁症状呈负相关。结论老年人抑郁症状与健康促进行为存在相关关系,可以通过改善老年人的健康行为方式来预防抑郁症状的发生。Objective To explore the relationship between depressive symptoms and health promotion behaviors in the elderly,and to provide a reference for improving psychological intervention measures for the elderly.Methods A random cluster sampling method was used to survey 1949 elderly people in Ningxia Hui Autonomous Region from May 6-July 31,2021.The Depression Screening Scale(patient health questionnaire,PHQ-9)and the Health Promotion Lifestyle Self-rating Scale(health-promoting lifestyle profile,HPLP-C)were used for evaluation,and the chi-square test and binary logistic regression model were used to explore the influencing factors of depressive symptoms and establish a structural equation model of depressive symptoms and health promotion behaviors.Results A total of 1937 people completed the questionnaire,and 760(39.2%)people were found to have depressive symptoms.Binary logistic regression showed that older,female,and unhealthy seniors were more likely to have depressive symptoms(all P<0.05).In the structural equation model,there was a positive correlation between health responsibility(β=0.20)and depressive symptoms,while self-actualization(β=-0.15)and interpersonal relationships(β=-0.06)were negatively correlated with depressive symptoms.Conclusions There is a correlation between depressive symptoms and health promotion behaviors in the elderly,and the occurrence of depressive symptoms can be prevented by improving the healthy behaviors of the elderly.

关 键 词：老年人 抑郁症状 健康促进行为 

分 类 号：R195.4[医药卫生—卫生统计学]