家庭和社区服务与中国老年人的抑郁症状之间的关联:多层次分析
Tingke Xu1, Zishuo Huang1,2, Yucheng Huang1
1School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
BMC public health
|July 21, 2023
概括
使用家庭和社区服务 (HCBS) 可能会保护中国的老年人免受抑郁症状的影响. 有针对性的HCBS可以减少负面情绪,改善老龄人口的心理健康.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 中国人口老龄化需要强大的家庭和社区服务 (HCBS).
- 在中国老年人中,HCBS的使用与抑郁症状之间的关系仍未得到充分研究.
- 这项研究解决了了解HCBS对中国老年人的心理健康影响的差距.
研究的目的:
- 调查家庭和社区服务 (HCBSs) 的利用与抑郁症状的患病率之间的联系.
- 在中国的老年人背景下研究这种关系.
主要方法:
- 利用了来自2018年中国健康与退休长度研究 (CHARLS) 7,787名老年人 (≥60岁) 的数据.
- 使用10项的流行病学研究中心抑郁症量表 (CES-D-10) 评估抑郁症状.
- 分析了HCBS的利用率及其与抑郁症状的关联,使用二进制逻辑回归和泛化层次线性模型 (GHLMs).
主要成果:
- 20.0%的参与者报告使用HCBS,而36.7%的参与者表现出抑郁症状.
- 在对共变量进行调整后,HCBS的使用与抑郁症状的可能性降低显著相关 (OR=1.180,p<0.05).
- 诸如性别,居住地,教育,婚姻状况,慢性病,自我评估健康状况,吸烟和省人均GDP等因素也与抑郁症状有显著的关联.
结论:
- 家庭和社区服务 (HCBS) 的利用似乎是中国老年人抗抑郁症状的保护因素.
- 政府对有针对性的社区级HCBS的投资对于解决未满足的护理需求至关重要.
- 加强HCBS可以减轻负面情绪,并减少老年人群中抑郁症状的严重程度.
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