在双重感官丧失的老年人中,住宅差异和抑郁症
Ethan B Wang1, Emmanuel E Garcia Morales1, Alden L Gross2
1Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA otolaryngology-- head & neck surgery
|January 2, 2025
概括
影响听觉和视觉的双重感官损失与印度老年人的抑郁率更高有关. 这些协会在城市和农村地区之间,以及不同地区之间有很大的差异.
科学领域:
- 老年学与公共卫生
- 感官障碍的流行病学 感官障碍的流行病学
- 心理健康研究 心理健康研究
背景情况:
- 同时的听力和视力损失 (双重感官损失) 在老年人中越来越令人担忧.
- 了解双重感官丧失和与抑郁症相关的农村-城市和区域差异对于有针对性的干预至关重要.
- 现有研究尚未充分探索城市化和地理区域如何改变感官丧失和抑郁之间的联系.
研究的目的:
- 调查印度老年人中双重感官丧失和抑郁症之间的关联中的农村-城市和区域差异.
- 确定可能影响感官损失和心理健康结果之间的关系的特定人口和地理因素.
主要方法:
- 这是一项采用印度长度衰老研究 (LASI) 第一波 (2017-2019) 数据的横截面研究.
- 包括27,927名年龄在60岁及以上的参与者,他们的感官损失被分为没有损失,仅听力损失,仅视力损失或双重感官损失.
- 后勤回归分析用于评估抑郁症的几率,使用相互作用术语来检查农村-城市和区域差异.
主要成果:
- 双重感官丧失与没有感官丧失相比,与抑郁症的几率增加显著相关.
- 城市居民 (OR,3.16) 与农村居民 (OR,1.73) 之间的双重感官损失和抑郁之间的关联比城市居民更强烈.
- 观察到区域差异,与西方 (OR,5.10) 与北方 (OR,1.38) 相比,与双重感官损失相关的抑郁症的几率更高.
结论:
- 双重感官丧失是老年人抑郁症的重要危险因素,根据城市和地理区域有显著差异.
- 这些发现强调了针对经历感官障碍的老年人提供量身定制的医疗保健服务和干预措施的需要,特别是在城市环境和特定地区.
- 针对多系统感官损失的个体,对于改善老龄化人口的心理健康结果至关重要.
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