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年龄、性别和种族对社区居住老年人抑郁与自评健康关系的影响:一项纵向研究。

The impact of age, gender, and race on the relationship between depression and self-rated health in community-dwelling older adults: a longitudinal study.

作者信息

Han B

机构信息

Special Populations Research Branch, Division of Programs for Special Populations, Bureau of Primary Health Care, Health Resources and Services Administration, Bethesda, MD 20814, USA.

出版信息

Home Health Care Serv Q. 2001;20(3):27-43. doi: 10.1300/J027v20n03_02.

Abstract

OBJECTIVE

To examine whether the prediction of baseline depression for subsequent changes in self-rated health is consistent across different age cohorts, gender, and racial groups.

DATA SOURCES AND STUDY SETTING

A total of 6,714 participants who were 65 years old or older and took part in both the first and the second wave of Assets and Health Dynamics among the Oldest-Old (AHEAD) national survey of community-dwelling older adults were examined.

STUDY DESIGN

A two-year prospective cohort study.

PRINCIPLE FINDINGS

Baseline depression was an independent risk factor, which not only decreased the odds of having substantial improvement in self-rated health but also increased the possibility of having substantial decline in self-rated health in older men and women, and in Blacks and Whites of all age groups.

CONCLUSIONS

Early prevention and treatment of depression among community-dwelling older adults may not only reduce their health decline but also promote their health.

摘要

目的

研究不同年龄队列、性别和种族群体中,基线抑郁对自评健康状况后续变化的预测是否一致。

数据来源与研究背景

对6714名65岁及以上的参与者进行了研究,这些参与者参加了针对社区居住老年人的全国性调查“老年资产与健康动态研究(AHEAD)”的第一轮和第二轮调查。

研究设计

一项为期两年的前瞻性队列研究。

主要发现

基线抑郁是一个独立的风险因素,它不仅降低了自评健康状况大幅改善的几率,还增加了老年男性和女性以及所有年龄组的黑人和白人自评健康状况大幅下降的可能性。

结论

社区居住老年人抑郁症的早期预防和治疗不仅可以减少他们的健康衰退,还可以促进他们的健康。

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