低所得の白人および人種・民族的少数派の高齢者の健康に関する満たされていない社会的ニーズとうつ病の横断的調査
Uma Devi Khemraj1, Phyllis Solomon2, Joseph J Locascio1,3
1Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Aging & mental health
|September 1, 2025
まとめ
高齢者のうつ病に寄与する重要な要因です. スクリーニングや紹介システムを通じて 健康関連の社会的ニーズに対処することで 疎外された人々の精神的健康ケアが改善できます
科学分野:
- ゲロントロジー
- 公衆衛生
- メンタルヘルスの研究
背景:
- 健康の社会的決定因子 (SDoH) は精神的健康に影響を与えますが,しばしば臨床用途には広すぎます.
- 健康関連の社会的ニーズ (HRSN) は,臨床環境でより実行可能なターゲットです.
- HRSNと高齢者のうつ病との関連は 更に調査する必要がある
研究 の 目的:
- HRSNとうつ病症状の関連性を評価する.
- 低所得者やマイノリティの高齢者に 焦点を当ててください
- 食糧不足や輸送の障壁などの特定のHRSNを調査する.
主な方法:
- 鬱症状のある50歳以上の成人の134人を横断分析した.
- 鬱病のPHQ-9とHRSNのCMSスクリーニングツールを使用しました.
- 多重線形回帰で 人口統計と健康要因を調整した.
主要な成果:
- 食糧不足 (31.1%) と輸送障害 (22.7%) が顕著でした.
- 食物不安は,より高い抑うつ症状と独立して関連していた (B=2. 81,p=0. 001).
- HRSNの合計は,調整されていないモデルでも調整されていないモデルでも関連性を示した.
結論:
- 食糧不足は この集団における 鬱症状の主要な要因です
- HRSNのスクリーニングと紹介システムは 精神保健の改善に不可欠です
- HRSNをターゲットにすることで 疎外された高齢者の支援が強化されます
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