我国老年血脂异常共病患者抑郁状况及其影响因素分析  

Analysis of depression status and its influencing factors in elderly patients with dyslipidemia comorbidity in China

作　　者：鲁丹凤[1,2] 颜宇攀 Nunez ARafael 邹冠炀 蓝韶清 LU Dan-feng;YAN Yu-pan;Nunez ARafael;ZOU Guan-yang;LAN Shao-qing(School of Public Health and Management,Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China;不详)

机构地区：[1]广州中医药大学公共卫生与管理学院,广东广州510006 [2]广州城市理工学院心理健康教研室,广东广州510800 [3]广东中医药博物馆,广东广州510006

出　　处：《现代预防医学》2024年第23期4338-4342,共5页Modern Preventive Medicine

基　　金：国家社会科学基金重大项目(20&ZD122)

摘　　要：目的分析我国老年血脂异常共病患者的抑郁状况及其影响因素。方法利用2018年中国健康与养老追踪调查项目(CHARLS)数据,选取年龄≥60岁、罹患包括血脂异常在内的2种以上慢性疾病人群,计算抑郁症状检出率,采用多因素logistic回归分析探究抑郁症状的影响因素。结果本研究共纳入1120名老年血脂异常共病患者,抑郁症状检出率为46.79%。多因素logistic回归分析显示,居住在农村(OR=2.121,95%CI:1.475~3.050)和身体功能障碍(OR=1.053,95%CI:1.035~1.072)是抑郁的危险因素,健康自评(OR=0.782,95%CI:0.641~0.955)、每天睡眠时间(OR=0.835,95%CI:0.776~0.899)、生活满意度(OR=0.653,95%CI:0.522~0.816)、健康满意度(OR=0.676,95%CI:0.554~0.826)、配偶关系满意度(OR=0.691,95%CI:0.572~0.835)是抑郁的保护因素。结论我国老年血脂异常共病患者的抑郁检出率较高,应加强老年血脂异常共病患者的抑郁症状评估,加大对农村地区、存在身体功能障碍的老年血脂异常共病患者的关注,保障其心理健康。Objective To analyze the depression status and its influencing factors among elderly patients with dyslipidemia comorbidity in China.Methods Utilizing data from the 2018 China Health and Retirement Longitudinal Study(CHARLS),we selected individuals aged 60 and above suffering from two or more chronic diseases,including dyslipidemia,to calculate the prevalence of depressive symptoms.A multivariate logistic regression analysis was conducted to explore the influencing factors of depressive symptoms.Results A total of 1120 elderly patients with dyslipidemia comorbidity were included in this study,with a prevalence of depressive symptoms at 46.79%.The multivariate logistic regression analysis revealed that living in rural areas(OR=2.121,95%CI:1.475-3.050)and having physical functional impairments(OR=1.053,95%CI:1.035-1.072)were risk factors for depression.Conversely,self-rated health(OR=0.782,95%CI:0.641-0.955),daily sleep duration(OR=0.835,95%CI:0.776-0.899),life satisfaction(OR=0.653,95%CI:0.522-0.816),health satisfaction(OR=0.676,95%CI:0.554-0.826),and spousal relationship satisfaction(OR=0.691,95%CI:0.572-0.835)were identified as protective factors against depression.Conclusion The prevalence of depression among elderly patients with dyslipidemia comorbidity in China is notably high.There is a need to enhance the assessment of depressive symptoms in these patients,particularly focusing on those in rural areas and those with physical functional impairments,to safeguard their mental health.

关 键 词：老年人 血脂异常共病 抑郁 影响因素分析 中国 

分 类 号：R749.4[医药卫生—神经病学与精神病学]