老年人中ADL残疾和抑郁症状之间的双向关联:来自CHARLS的纵向证据
Wenjing Yan1,2, Lina Wang3, Chao Li4
1School of Physical Education, Shanxi Normal University, Taiyuan, Shanxi, China.
Scientific reports
|February 28, 2025
概括
日常生活活动 (ADL) 障碍增加了抑郁症状的风险,抑郁症状增加了中国老年人ADL障碍的风险. 需要有针对性的干预措施来改善独立性和减轻抑郁症.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 日常生活活动 (ADL) 障碍和抑郁症状 (DS) 是老龄化人口的重大问题.
- 了解ADL残疾和DS之间的双向关系对于有效的干预至关重要.
研究的目的:
- 调查中国中年和老年人中ADL残疾和抑郁症状之间的双向关系.
- 确定改变这些关系的因素.
主要方法:
- 利用了2015-2018年中国健康与退休长度研究 (CHARLS) 的数据.
- 采用Cox的比例危险回归模型来分析ADL对DS的影响,反之亦然.
- 调整为社会人口统计学,生活方式和与健康有关的共同变量.
主要成果:
- ADL残疾显著增加了抑郁症状的风险 (HR=1.090).
- 抑郁症状与较高的ADL残疾风险相关 (HR=1.033).
- 教育,社会活动和残疾改变了ADL-DS关系;年龄,婚姻状况和疼痛影响了DS-ADL关系.
结论:
- 在中国老年人中,ADL残疾和抑郁症状之间存在复杂的相互作用.
- 研究结果强调,需要有针对性的干预措施,以解决老龄人口的功能独立性和心理健康问题.
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