多维社会剥夺感对老年人衰弱的影响-抑郁的中介效应分析  

Multidimensional Social Deprivation Impacts on Frailty in the Elderly:The Mediating Effect of Depression

作　　者：冉光权 王延 刘帅 刘丹萍[1] RAN Guangquan;WANG Yan;LIU Shuai;LIU Danping(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院健康行为与社会医学系,成都610041

出　　处：《四川大学学报（医学版）》2024年第4期925-931,共7页Journal of Sichuan University(Medical Sciences)

基　　金：四川省哲学社会科学研究“十四五”规划课题(No.SC22B114)资助。

摘　　要：目的 探究抑郁在老年人多维社会剥夺感与衰弱间关联的中介效应。方法 采用便利抽样法抽取成都市某区533名老年人进行问卷调查。采用Spearman秩相关分析社会剥夺感、抑郁、衰弱之间的关联,并采用MacKinnon乘积分布法检验抑郁在社会剥夺感与衰弱间中介效应的显著性。结果 研究对象社会剥夺感平均得分为(48.9±7.1)分,抑郁检出率为12.8%,衰弱发生率为8.4%。社会剥夺感与衰弱(r=0.212,P<0.001)和抑郁(r=0.399,P<0.001)呈正相关;抑郁与衰弱呈正相关(r=0.248,P<0.001)。中介效应检验结果表明,抑郁在社会剥夺感与衰弱之间起部分中介作用(P<0.05),中介效应占比64.95%。其中抑郁在社会经济状况、综合性感觉维度与衰弱之间起部分中介作用(P<0.05),中介效应占比分别为70.30%和64.76%,在家庭与社会关系、政治与社会活动维度与衰弱之间起完全中介作用(P<0.05)。结论 社会剥夺感能够影响老年人衰弱结局,抑郁部分介导了这一关联。Objective To investigate the mediating role of depression in the association between multidimensional social deprivation and frailty among the elderly.Methods A total of 533 elderly individuals were enrolled from a district in Chengdu using a convenience sampling method.The participants responded to a questionnaire survey.Spearman rank correlation coefficient was employed to assess the correlations among social deprivation,depression,and frailty.MacKinnon’s product-of-coefficients method was used to test the significance of the mediating effect of depression between social deprivation and frailty.Results Among the participants,the average score for social deprivation among the participants was 48.9±7.1,the depression detection rate was 12.8%,and the frailty incidence rate was 8.4%.Social deprivation was positively correlated with frailty(r=0.212,P<0.001)and depression(r=0.399,P<0.001),while depression was positively correlated with frailty(r=0.248,P<0.001).The results of the mediation analysis showed that depression partially mediated the relationship between social deprivation and frailty(P<0.05),accounting for 64.95%of the mediation effect.Specifically,depression partially mediated the relationship between socio-economic status,comprehensive feeling,and frailty(P<0.05),accounting for 70.30%and 64.76%of the mediating effect,respectively.Depression fully mediated the relationship between family and social support,political and social participation dimensions,and frailty(P<0.05).Conclusion Social deprivation can influence frailty in elderly people,with depression partially mediating this association.

关 键 词：社会剥夺 衰弱 抑郁 中介效应 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]