中国老年人抑郁症状的地区分布及与心脑血管疾病的关系  

Regional distribution of depression symptoms in Chinese elder and relationship with cardiovascular and cerebrovascular diseases

作　　者：张紫薇 花语蒙 陈阳阳 刘爱萍[1] ZHANG Zi-wei;HUA Yu-meng;CHEN Yang-yang;LIU Ai-ping(Department of Social Medicine and Health Education,Peking University School of Public Health,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院社会医学与健康教育系,北京100191

出　　处：《中华疾病控制杂志》2023年第2期195-200,共6页Chinese Journal of Disease Control & Prevention

摘　　要：目的探讨中国60岁及以上老年人抑郁症状的地区分布及与心脑血管疾病的关系。方法基于中国健康与养老追踪调查(China Health Retirement Longitudinal Study,CHARLS)2018年全国调查数据,以3778名60岁及以上的老年人为研究对象,采用Spearman相关分析分析地区经济发展与老年抑郁症状及心脑血管疾病关联的城乡差异,logistic回归分析模型分析不同地区老年心脑血管疾病与抑郁症状的关系。结果中国老年人抑郁症状检出率为45.9%,人均生产总值(gross domestic product,GDP)与老年抑郁症状检出率呈负相关(rs=-0.651,P<0.001),城市和农村人均GDP水平均与老年抑郁症状检出率呈负相关(rs城市=-0.850,P<0.05;rs农村=-0.810,P<0.05),农村人均GDP水平与心脑血管疾病患病率呈负相关(rs农村=-0.876,P<0.05)。心脑血管疾病老年患者的抑郁症状检出率是未患心脑血管疾病老年人的1.876倍(OR=1.876,95%CI:1.561~2.255,P<0.05)。结论地区经济发展水平低、患心脑血管疾病会造成老年心理健康的双重负担,因此发展地区经济对促进老年人群身心健康具有重要作用,同时应关注心脑血管疾病老年患者的心理健康。Objective To explore the regional distribution of depressive symptoms and the relationship with cardiovascular and cerebrovascular diseases in the elderly over 60 years old in China.Methods Based on China Health Retirement Longitudinal Study(CHARLS)in 2018,3778 elderly people aged 60 and above were enrolled.The Spearman correlation was adopted to analyze the urban-rural differences between regional economic development and depressive symptoms and cardiovascular and cerebrovascular diseases among the elderly.The logistic regression analysis was used to analyze the relationship between cardiovascular and cerebrovascular diseases and depressive symptoms in the elderly in different regions.Results The prevalence of depressive symptoms in the elderly in China was 45.9%.The per capita GDP was negatively correlated with the prevalence of depression symptoms in the elderly(rs=-0.651,P<0.001).The per capita GDP level in urban and rural areas was negatively correlated with the prevalence of depression symptoms(rs city=-0.850,P<0.05;rs country=-0.810,P<0.05).The level of per capita GDP in rural areas was negatively correlated with the prevalence of cardiovascular and cerebrovascular diseases(rs country=-0.876,P<0.05).The risk of depression symptoms in patients with cardiovascular and cerebrovascular diseases was 1.876 times than that in the elderly without cardiovascular and cerebrovascular diseases(OR=1.876,95%CI:1.561-2.255,P<0.05).Conclusions The low level of regional economic development and cardiovascular and cerebrovascular diseases pose a double burden on the mental health of the elderly.Therefore,developing regional economy plays an important role in promoting the physical and mental health of the elderly,and more attention should be paid to the mental health of the elderly patients with cardiovascular and cerebrovascular diseases.

关 键 词：抑郁症状 人均生产总值 心脏病 脑卒中 

分 类 号：R749.92[医药卫生—神经病学与精神病学]