听力损失和抑郁症之间的关联在中国健康和退休纵向研究中
Yanju Zhang1, Xiaofang He2, Yibo Liu1
1The Second Clinical Medical College of Guizhou University of Traditional Chinese Medicine, Guiyang, China.
Scientific reports
|July 2, 2025
概括
听力损失与中年和老年人的抑郁症有关. 对听力障碍的早期干预对于这种人口群体的心理健康和生活质量至关重要.
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:
- 听力损失 (HL) 是一个普遍的全球健康问题,特别影响老年人.
- 抑郁症对中年和老年人群构成重大公共卫生挑战.
- 目前关于听力障碍和抑郁症的研究主要集中在老年人身上,对中年人进行的调查有限.
研究的目的:
- 调查中年和老年人自我报告的听力损失和抑郁症之间的联系.
- 扩大调查的年龄范围,包括年仅45岁的个人,解决当前文献中的差距.
- 分析来自中国健康与退休长度研究 (CHARLS) 的数据,以了解中国人口中的这种关系.
主要方法:
- 利用了来自2018年中国健康与退休长度研究 (CHARLS) 45岁及以上的5207名参与者的数据.
- 通过自我报告和使用10项流行病学研究中心抑郁症尺度 (CES-D-10) 评估听力状况和抑郁症.
- 采用多变量和多项物流回归模型来分析关联,控制社会人口统计和与健康相关的共变量.
主要成果:
- 自我报告的正常听力和不良听力都与未调整和调整模型中抑郁症的更高患病率显著相关.
- 调整后的几率比率表明,听力良好 (OR=1.235) 和听力差 (OR=1.335) 增加了抑郁症的可能性.
- 女性性别,农村居住,自我评估健康状况不佳,慢性病和ADL残疾等因素也与抑郁症风险增加有关.
结论:
- 自我报告的听力损失是中老年和中国老年人抑郁症的重要危险因素.
- 听力损失和抑郁症之间的联系延伸到中年人群,而不仅仅是老年人.
- 研究结果强调了早期听力障碍干预对于改善这一更广泛的年龄组的心理健康和生活质量的重要性.
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