子女经济支持对老年父母抑郁症状影响研究  

The impact of children's financial support on depressive symptoms among elderly parents

作　　者：娄佳旭 王健 刘桂林[3] 刘子钰[1,2] 王茜 LOU Jiaxu;WANG Jian;LIU Guilin;LIU Ziyu;WANG Qian(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan,Shandong 250012,China;不详)

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) [3]温州医科大学医学人文与管理学院 [4]苏州市疾病预防控制中心

出　　处：《中国预防医学杂志》2025年第1期21-26,共6页Chinese Preventive Medicine

基　　金：国家自然科学基金资助项目(71273156);山东省自然科学基金青年项目(ZR2021QG018)。

摘　　要：目的研究子女经济支持对老年父母抑郁症状的影响,验证老年人个人经济收入水平在两者关系之间产生的作用,为促进老年心理健康提供依据。方法利用2018年中国老年健康影响因素跟踪调查数据库,筛选≥65岁老年人的人口经济学信息、子女经济支持以及抑郁得分情况,分析子女经济支持与老年抑郁症状之间的关系。结果共调查≥65岁老年人7538名,出现抑郁症状的比例为37.94%,抑郁得分为(3.0±1.5)分。不同个人收入水平(χ^(2)=192.575,P<0.01)、子女经济支持数量(χ^(2)=112.699,P<0.01)和相对比(χ^(2)=193.138,P<0.01)间,老年人出现抑郁症状的差异有统计学意义。在老年人年收入<1万元时,子女每年经济支持分别在>7500~9000元(OR=0.47,95%CI:0.28~0.77);>9000元(OR=0.40,95%CI:0.28~0.56)、>4500~6000元(OR=0.57,95%CI:0.34~0.95)和>9000元(OR=0.51,95%CI:0.30~0.86)、>0~1500元(OR=0.36,95%CI:0.17~0.77);>1500~3000元(OR=0.32,95%CI:0.13~0.76);>3000~4500元(OR=0.23,95%CI:0.06~0.87)和>9000元(OR=0.08,95%CI:0.02~0.41)范围内降低老年父母抑郁症状出现的风险;当老年人个人年收入>1万元时,子女,每年经济支持分别在>9000元(OR=1.93,95%CI:1.13~3.31)、>0~1500元(OR=1.99,95%CI:1.30~3.05);>1500~3000元(OR=2.36,95%CI:1.46~3.80)、>3000~4500元(OR=2.86,95%CI:1.23~6.65)和>7500~9000元(OR=3.42,95%CI:1.41~8.34)范围内时与老年父母抑郁症状的高发生风险相关。结论老年人个人经济收入水平与自身抑郁水平紧密相关,子女经济支持在不同老年人收入水平下对老年父母抑郁症状的影响存在差异。Objective To investigate the impact of children's financial support on depressive symptoms among elderly parents and to assess the moderating role of personal income level in this relationship,contributing to mental health promotion strategies for the elderly.Methods Data were sourced from the 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS),focusing on individuals aged 65 and older.Information collected included demographic and economic information,levels of children's financial support,and depression scores.The chi-square test and multiple linear regression were used to analyze the relationship between children's financial support and depressive symptoms.Results A total of 7538 elderly individuals aged≥65 were surveyed,with 37.94%exhibiting depressive symptoms and an average depression score of 3.0±1.5 points.There were statistically significant differences in depressive symptoms among different levels of personal income(χ^(2)=192.575,P<0.01),the amount of financial support from children(χ^(2)=112.699,P<0.01),and relative proportions of support(χ^(2)=193.138,P<0.01).For elderly parents with annual incomes below 10000 CNY,the children's financial support within the range of>7500-9000(OR=0.47,95%CI:0.28-0.77);>9000(OR=0.40,95%CI:0.28-0.56),>4500-6000(OR=0.57,95%CI:0.34-0.95)and>9000(OR=0.51,95%CI:0.30-0.86),>0-1500(OR=0.36,95%CI:0.17-0.77);>1500-3000(OR=0.32,95%CI:0.13-0.76);>3000-4500(OR=0.23,95%CI:0.06-0.87)and>9000(OR=0.08,95%CI:0.02-0.41)CNY was associated with a reduced risk of depressive symptoms.Conversely,for those with annual incomes higher than 10000 CNY,the children's financial support in the range of>9000(OR=1.93,95%CI:1.13-3.31),>0-1500(OR=1.99,95%CI:1.30--3.05);>1500-3000(OR=2.36,95%CI:1.46-3.80),>3000-4500(OR=2.86,95%CI:1.23-6.65)and>7500-9000(OR=3.42,95%CI:1.41-8.34)CNY was associated with a higher risk of depressive symptoms.Conclusions The income level of elderly individuals significantly correlates with depressive symptoms.The impact of children's financial support on depressive

关 键 词：社会支持 经济支持 子代支持 老年人 抑郁症状 

分 类 号：R19[医药卫生—卫生事业管理]