中国城乡老年人抑郁现状及其影响因素分析

doi:10.3969/j.issn.1006-5253.2022.03.009

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Abstract Objective To analyze the status and influencing factors of depression symptoms in urban and rural elderly in China.Methods The data were collected from the fourth round of China Health and Retirement Longitudinal Study (CHARLS) and the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10) to assess depressive symptoms of the elderly. Logistic regression model was used to analyze the influencing factors of depression of the elderly.Results The positive rate of depression symptoms in 7 690 elderly was 30.73%, with 21.5% in urban area and 43.0% in rural area. Compared with that of the urban elderly, the OR (95%CI) of the rural elderly was 1.515 (1.311-1.751). Compared with that of males, the OR (95%CI) of females was 1.609 (1.423-1.820). The OR (95%CI) of the widowed elderly was 1.222 (1.052-1.419), compared with the married elderly who lived with their spouses. Compared with that of the elderly who were completely satisfied with their life, the OR (95%CI) of more satisfied, less satisfied and completely dissatisfied were 1.963 (1.472-2.614), 7.278 (5.179-10.228) and 16.922 (9.997-28.644) respectively. Compared with that of the elderly without chronic diseases, the OR (95%CI)of the elderly with chronic diseases was 1.221 (1.090-1.369). Compared with that of the illiterate, the OR (95%CI) of the elderly with junior high school education, senior high school/technical secondary school/vocational high school education, undergraduate education and above were 0.677 (0.557-0.823), 0.482 (0.370-0.626) and 0.339 (0.137-0.838) respectively. Compared with that of the elderly with sleep time ≤ 5 h, the OR (95%CI) of the elderly with sleep time of 6～9 h and ≥10 h were 0.481 (0.428-0.541) and 0.537 (0.440-0.656) respectively. Compared with that of the elderly without social activities, the OR (95%CI) of the elderly with social activities was 0.865 (0.773-0.968). The OR (95%CI) of the elderly having wage income was 0.794 (0.691-0.913).Conclusion Rural area, female, widowhood, low life satisfaction, and chronic diseases were risk factors for depression symptoms in older adults. High educational level, long sleep time, social activities, and income in the past year were protective factors for depression symptoms in the elderly. Targeted intervention measures should be put forward on the basis of accurately identifying the influencing factors of depression in urban and rural elderly.

Key words： urban and rural elderly depressive symptom influencing logistic regression model

Received: 02 March 2022

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	Articles by authors
	Liu Haixia
	Yan Haosen
	Li Rui
	Xu Zhaoyang
	Xu Mingdan

Cite this article:

Liu Haixia,Yan Haosen,Li Rui, et al. Depression status and its influencing factors in urban and rural elderly in China[J]. journal1, 2022, 29(3): 201-206.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2022.03.009 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2022/V29/I3/201

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