老年人家庭代际接触、抑郁症状与自评健康状况的关联研究  

Relationship between family intergenerational contact,depressive symptoms and self-reported health status in the elderly

作　　者：张曼 吴鉴伦 程心蓓 马源 郑卫军[1] ZHANG Man;WU Jianlun;CHENG Xinbei;MA Yuan;ZHENG Weijun(School of Public Health,Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310053,China;Baoding No.1 Central Hospital East Hospital,Baoding,Hebei 071000,China)

机构地区：[1]浙江中医药大学公共卫生学院,浙江杭州310053 [2]保定市第一中心医院(东院),河北保定071000

出　　处：《预防医学》2023年第10期840-843,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的 探讨老年人家庭代际接触、抑郁症状与自评健康状况的关联,为促进老年人健康、积极应对人口老龄化提供思路。方法 通过中国老年健康调查项目(CLHLS)数据库收集≥65岁老年人的人口学信息、代际接触频率、自评健康状况和抑郁症状评估资料,建立结构方程模型分析家庭代际接触对老年人自评健康状况的影响,以及抑郁症状在家庭代际接触与自评健康状况中的中介作用。结果 收集15 497名老年人资料,其中男性6 727人,占43.41%;女性8 770人,占56.59%;年龄M (Q_(R))为85.00 (16.00)岁;与家庭成员同住12 583人,占81.19%。自评健康评分为(3.39±0.87)分;抑郁症状评分为(2.22±0.56)分。结构方程模型分析结果显示,控制年龄、性别和居住方式等因素后,频繁的家庭代际接触对老年人自评健康状况有直接正向影响(效应值=0.038,P<0.001),频繁的家庭代际接触可改善老年人抑郁症状(效应值=-0.089,P<0.001);抑郁症状对老年人自评健康有负向影响(效应值=-0.422,P<0.001)。结论 频繁的家庭代际接触可提高老年人自评健康水平,通过缓解抑郁症状间接提高老年人自评健康水平。Objective To explore the relationship between family intergenerational contact,depressive symptoms and selfrated health status in the elderly,so as to provide insights into promoting health of the elderly and actively coping with population aging.Methods Demographic information,intergenerational contact frequency,self-rated health status and de⁃pressive symptoms in the elderly at ages of 65 years and older were collected through the Chinese Longitudinal Healthy Longevity Survey(CLHLS).Structural equation model was established to analyze the effects of intergenerational contact on self-rated health and the mediating role of depressive symptoms between family intergenerational contact and self-rat⁃ed health in the elderly.Results Totally 15497 elderly participants were enrolled,with 6727 males(43.41%)and 8770 females(56.59%),and there 12583 individuals lived with family members(81.19%).The median age was 85.00(interquartile range,16.00)years.The scores of self-rated health and depressive symptoms were(3.39±0.87)and(2.22±0.56),respectively.The results of structural equation model analysis showed that after adjusting for age,gender and resi⁃dence,frequent intergenerational contact had a direct positive effect on self-rated health(effect size=0.038,P<0.001),and could improve the depressive symptoms(effect size=0.089,P<0.001)in the elderly.In addition,depressive symp⁃toms had a negative effect on self-rated health in the elderly(effect size=-0.422,P<0.001).Conclusion Frequent inter⁃generational contact can improve the self-rated health status in the elderly,and indirectly improve the self-rated health evel by alleviating depressive symptoms.

关 键 词：家庭代际接触 自评健康状况 抑郁症状 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]