我国老年人日常生活活动能力与慢性病共病和抑郁症状的关系分析  

Analysis of the Relationship Between Activities of Daily Living in Old Adults in China and Chronic Disease Comorbidity and Depressive Symptoms

作　　者：邢贤晋 王健 高天[1,3] 刘晋阳 韩金铭[1,2] 曲歌 曹硕 张瑜洁 XING Xianjin(Health Management and Policy Research Center,School of Public Health,Qilu Medical College,Shandong University,Jinan,Shandong,250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院,卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012 [3]山东省济南市中心医院,山东济南250012

出　　处：《医学与社会》2023年第8期123-128,共6页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为71273156;山东省社科基金规划项目,编号为19CZKJ02。

摘　　要：目的:分析我国老年人日常生活活动能力与慢性病共病和抑郁症状的关系,为改善老年人生活质量提供依据。方法:基于《中国老年健康影响因素跟踪研究》2018年横断面调查数据,选取65岁及以上老年人样本共9528人,采用卡方检验、相关性分析、中介效应分析3者之间的关系。结果:老年人抑郁症状总检出率为27.0%,慢性病共病患者占40.7%,日常生活活动能力受损率为18.9%。慢性病共病对老年人抑郁症状具有统计学意义的正向预测作用(β=0.914,P<0.001)。老年人日常生活活动能力在慢性病共病与抑郁症状之间的中介效应占8.53%。结论:老年人慢性病共病、日常生活活动能力与抑郁症状相关,慢性病共病可以直接或通过日常生活活动能力的中介作用间接影响抑郁症状。Objective:To analyze the relationship between activities of daily living,depressive symptoms and multiple chronic conditions in the old adults,so as to provide evidence for improving the quality of life of older adults.Methods:Based on the cross-sectional survey data of Chinese longitudinal healthy longevity survey(CLHLS)in 2018,a total of 9528 older adults aged 65 and over were included in the study.Chi-square test,correlation analysis,mediation effect analysis of the relationship between the three.Results:The total detection rate of depressive symptoms in the older adults was 27.0%,the proportion of patients with multiple chronic conditions was 40.7%,and the rate of impaired activities of daily living was 18.9%.In the model,multiple chronic conditions had a statistically significant positive predictive effect on depressive symptoms in older adults(β=0.914,P<0.001).The mediating effect of activities of daily living between multiple chronic conditions and depressive symptoms in older adults accounted for 8.53%.Conclusion:The multiple chronic conditions and activities of daily living in older adults are related to depressive symptoms,and multiple chronic conditions can directly or indirectly affect depressive symptoms through the mediating effect of activities of daily living.

关 键 词：理健康 抑郁症状 慢性病共病 日常生活活动能力 老年人 

分 类 号：R195.4[医药卫生—卫生统计学]