社区老年人抑郁症状现况及与看电视时长的关系分析  

Analysis on the relationship between the depressive symptoms condition and the time length of watching TV among the elderly in community

作　　者：胡亚男 王宝华[2] 张志航 王丹 王秋童[2] 王志会 齐士格[4] HU Yanan;WANG Baohua;ZHANG Zhihang;WANG Dan;WANG Qiutong;WANG Zhihui;QI Shige(School of Public Health,China Medical University,Shenyang,Liaoning Province 110122,China;Cancer and Key Chronic Disease Control and Prevention Laboratory,National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;不详)

机构地区：[1]中国医科大学公共卫生学院,辽宁省沈阳110122 [2]中国疾病预防控制中心慢性非传染性疾病预防控制中心重点慢病防控实验室,北京100050 [3]北京市和平里医院妇科 [4]中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病老年健康室,北京100050

出　　处：《中国慢性病预防与控制》2023年第3期177-181,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：财政部重大公共卫生专项(131091106000150003)。

摘　　要：目的了解社区老年人抑郁症状现况及其与看电视时长的关系,为社区老年人群抑郁症状的早期预防和干预提供依据。方法数据来自老年期重点疾病预防和干预项目2019—2021年在辽宁、河南、广东3省完成的调查。采用多阶段分层整群随机抽样方法共抽取3省15306名60岁及以上社区老年人为研究对象,问卷调查一般情况、看电视情况,应用病人健康问卷(PHQ-9)调查抑郁症状。采用SAS 9.4软件进行χ^(2)检验和多因素logistic回归分析。结果3省社区老年人抑郁症状检出率为15.90%。多因素logistic回归分析结果显示,女性(OR=1.539),未婚、离婚、分居或丧偶(OR=1.270),由保姆照料、独居或生活在养老机构(OR=1.813)与老年人抑郁症状发生高风险相关(P<0.05,P<0.01);小学及以上教育程度(OR=0.757)、参加社交活动(OR=0.752)、每天读书看报(OR=0.747)、锻炼身体(OR=0.811)、喝茶(OR=0.715)与老年抑郁症状发生低风险相关(P<0.05,P<0.01);以不看电视为参照,看电视时间>1~2和>2~4 h/d者抑郁症状发生风险较低(OR值分别为0.698和0.762),看电视时长>6 h/d者抑郁症状发生风险较高(OR=1.574),均有统计学意义(P<0.01)。结论社区老年人中不看电视及看电视时间过长可能与抑郁症状风险增加有关,建议老年人将看电视时长控制在4 h/d内,鼓励积极广泛参与社交活动。Objective To understand the current situation of depressive symptoms and the relationship between watching TV time and depressive symptoms in the elderly of the community,and provide the basis for the early prevention and intervention of depressive symptoms in the elderly of the community.Methods The data were from the"Prevention and Intervention of Key Diseases in the Elderly"project,survey was completed in Liaoning,Henan and Guangdong provinces from 2019 to 2021.The multi-stage stratified cluster random sampling method was used to select a total of 15306 elderly people(≥60 years old)in communities in the three provinces as subjects.The investigation was performed with questionnaire for general information and watching TV situation,and with Patient Health Questionnaire-9(PHQ-9)for depressive symptoms.The χ^(2)test and multivariate logistic regression model were used to analyze the data.The used software was SAS 9.4.Results The detection rate of depressive symptoms in community elderly of 3 provinces was 15.90%.Multivariate logistic regression analysis showed that female(OR=1.539),unmarried,divorced,separated or widowed(OR=1.270),nursemaid care,living alone or living in an elderly care institution(OR=1.813)were associated with the high risk of depression symptoms in the elderly(P<0.05 or P<0.01).The educational level of≥primary school(OR=0.757),participation in social activities(OR=0.752),reading books and newspapers(OR=0.747),physical exercise(OR=0.811),and drinking tea(OR=0.715)were associated with a lower risk of depression symptoms in the elderly(P<0.05 or P<0.01);as compared with those who did not watch TV,the elderly who watched TV for >1-2,>2-4 hours per day had a lower risk of depressive symptoms(OR values were 0.698 and 0.762),while those who watched TV for more than 6 hours per day had a higher risk of depressive symptoms(OR=1.574),P<0.01.Conclusion No watching TV or watching TV for longer time are related to high risk of depression symptoms.It is suggested that watching TV time is controlled for 4

关 键 词：电视 老年人 抑郁症状 

分 类 号：R749.4[医药卫生—神经病学与精神病学]