子女代际支持对农村空巢老年人抑郁的影响  

Effects of intergenerational support from children on depression in rural empty nesters

作　　者：蔡钺 景正月 薛宇 CAI Yue;JING Zhengyue;XUE Yu(School of Health Policy and Management,Nanjing Medical University,Nanjing,Jiangsu 211166,China;不详)

机构地区：[1]南京医科大学医政学院,江苏南京211166 [2]江苏食品药品职业技术学院,江苏淮安223023

出　　处：《中国临床研究》2024年第12期1905-1909,1920,共6页Chinese Journal of Clinical Research

基　　金：中国高等教育科学研究规划项目(23ZYJ0209);中华职业教育社规划项目(ZJS2024ZN040)。

摘　　要：目的探讨子女代际支持与农村空巢老年人抑郁症状的关系,为农村空巢老年人的抑郁防治提供参考依据。方法纳入2018年中国健康与养老追踪调查数据(CHARLS)中的研究对象1756例,采用流行病学研究中心抑郁量表(CESD-10)衡量农村空巢老人抑郁症状,从经济支持、精神慰藉和日常照料三个维度测量子女代际支持,运用多因素logistic回归模型分析子女代际支持与农村空巢老年人抑郁症状的关系。结果在1756例研究对象中,患有抑郁症状的农村空巢老人共有702人(39.98%)。抑郁组子女经济支持(取其自然对数)低于非抑郁组(7.82±1.28 vs 8.06±1.26,t=3.892,P<0.01),抑郁组子女精神慰藉得分低于非抑郁组[(3.44±2.10)分vs(3.80±2.20)分,t=3.426,P<0.01],抑郁组子女提供日常照料的比例更低(32.97%vs 52.51%,χ^(2)=8.478,P=0.004)。多因素logistic回归分析显示,子女经济支持(OR=0.874,95%CI:0.804~0.950)、子女精神慰藉(OR=0.916,95%CI:0.870~0.964)、子女日常照料(OR=0.667,95%CI:0.494~0.901)是空巢老人抑郁的保护因素(P<0.01)。结论我国有较多的农村空巢老人出现了抑郁症状,子女的代际支持可降低空巢老人的抑郁症状。Objective To explore the relationship between intergenerational support from children and depressive symptoms among rural empty-nesters,with a view to providing a reference basis for depression prevention and treatment among rural empty nesters.Methods A total of 1756 participants from the 2018 China Health and Retirement Longitudinal Survey(CHARLS)were included.The Centre for Epidemiological Studies Depression Scale(CESD-10)was used to measure the depressive symptoms of rural empty nesters.The intergenerational support of children was measured in three dimensions:economic support,spiritual comfort and daily care.The multivariate logistic regression model was used to analyze the relationship between intergenerational support of children and the depressive symptoms of rural empty nesters elderly.Results A total of 702(39.98%)rural empty nesters suffered from depressive symptoms out of 1756 study participants.Economic support(the value converted into natural logarithm)from children was lower in the depressed group than that in the non-depressed group(7.82±1.28 vs 8.06±1.26,t=3.892,P<0.01),children's spiritual comfort scores were lower in the depressed group than those in the non-depressed group[(3.44±2.10)points vs(3.80±2.20)points,t=3.426,P<0.001],and the depression group had a lower percentage of children providing daily care(32.97%vs 52.51%,χ^(2)=8.478,P=0.004).Multivariate logistic regression analysis showed that children's economic support(OR=0.874,95%CI:0.804-0.950),children's spiritual comfort(OR=0.916,95%CI:0.870-0.964),and children's daily care(OR=0.667,95%CI:0.494-0.901)were protective factors for depressive symptoms in the rural empty nesters(P<0.01).Conclusion Plenty of the rural empty-nesters in China show depressive symptoms,and the intergenerational support from children is an important factor in effectively alleviating the depressive symptoms of this group.

关 键 词：代际支持 农村 空巢老年人 抑郁 经济支持 

分 类 号：R749.4[医药卫生—神经病学与精神病学]