在中国老年人中,视力和听力障碍以及抑郁症状之间的动态关联
Yitong He1, Weiqing Jiang1, Yilin Hua1
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Archives of gerontology and geriatrics
|October 4, 2023
概括
视力障碍和听力障碍一直与中国老年人随着时间的推移与抑郁症状有关. 这些感官障碍显著影响心理健康,需要进一步关注有效的预防策略.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 眼科和听力学 眼科和听力学
背景情况:
- 视力障碍 (VI) 和听力障碍 (HI) 对老年人抑郁症状的纵向影响仍未得到充分研究.
- 了解这些动态关联对于开发针对老龄人口的有针对性的心理健康干预措施至关重要.
研究的目的:
- 为了研究VI,HI和抑郁症状之间随着时间的推移在中国老年人中不断变化的关系.
- 确定预防策略的潜在目标,旨在减轻这一人口群中的抑郁症.
主要方法:
- 采用了中国健康与退休长度研究 (CHARLS) 的三波数据.
- 采用后勤回归模型来分析自我报告的VI,HI,抑郁症状和社会隔离等共变量之间的动态关联,包括相互作用.
- 评估了乘法和加法相互作用,以了解组合效应.
主要成果:
- 在8519名参与者 (平均年龄为62.0岁) 中,在所有三个波段中观察到VI,HI和抑郁症状之间的显著关联.
- 在研究期间,VI和HI的调整后几率比率持续增加,这表明与抑郁症状的联系越来越强烈.
- 发现VI和HI之间对抑郁症状的显著附加相互作用,特别是当社会隔离没有调整时.
结论:
- 视力障碍和听力障碍在四年时间内持续与中国老年人的抑郁症状有关.
- VI和HI对心理健康的累积和相互作用影响需要增加临床和公共卫生的关注.
- 这些发现强调了对老年人感官和心理健康护理的综合方法的需要.
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