长期无家可归和老年人的抑郁症状
Sarah K Dobbins1, Cheyenne M Garcia2,3, Jennifer L Evans2,3
1School of Nursing, University of California, San Francisco.
JAMA network open
|August 15, 2024
概括
长期无家可归的老年人与更多的抑郁症状有关. 确保住房可能会改善心理健康和整体福利这弱势群体.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 抑郁症是无家可归的成年人中普遍存在的问题.
- 长期无家可归与老年人抑郁症状恶化的关系需要进一步研究.
研究的目的:
- 调查50岁及以上无家可归的成年人居住状态和抑郁症状之间的关联.
- 确定持续的无家可归是否会在这个人口群体中加剧抑郁症状.
主要方法:
- 一项对50岁以上在加利福尼亚州奥克兰无家可归的成年人的队列研究 (HOPE HOME项目) 从2013-2023.
- 住房状况 (无家可归者与住房者) 和抑郁症状 (CES-D尺度得分≥22) 在平均5.5年内进行了评估.
- 增加治疗权重的逆概率 (AIPTW) 用于分析关联,调整多个共变量.
主要成果:
- 该研究包括450名参与者 (76.2%是男性,平均年龄为58.5岁).
- 持续无家可归与中度至重度抑郁症状的更高几率显著相关 (边际因果几率比,1.08;95% CI,1.04-1.11).
- 大多数参与者 (78.0%) 在研究期间经历了住宿期间.
结论:
- 持续的无家可归与老年人抑郁症状的增加独立相关.
- 购买住房可能在改善无家可归的老年人的抑郁和福祉方面发挥着至关重要的作用.
- 住房干预可以被视为心理健康支持这一群体的战略.
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