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老年人的抑郁症状:早年和晚年生活环境及婚姻状况的影响。

Depressive symptoms among older adults: the impact of early and later life circumstances and marital status.

机构信息

The Irish Longitudinal Study on Ageing, Trinity College Dublin, Dublin, Ireland.

出版信息

Aging Ment Health. 2013;17(3):349-57. doi: 10.1080/13607863.2012.747078. Epub 2012 Dec 6.

DOI:10.1080/13607863.2012.747078
PMID:23215764
Abstract

OBJECTIVE

This article contributes to the literature on depression and the life course by examining the impact of both early and later life circumstances on depressive symptoms among men and women aged 65 and over in Ireland.

METHOD

Data are from the first wave of The Irish Longitudinal Study on Ageing, a nationally representative sample of 8504 community-dwelling adults aged 50 years and older. About 3507 respondents aged 65 years and over were included in the analysis. Multinomial logistic regression was used to examine the childhood and early adult life circumstances associated with marital status. A series of nested models were estimated to evaluate which childhood and adulthood circumstances are associated with depressive symptoms. Models were estimated separately for men and women.

RESULTS

Ill health in childhood and in later life has a strong and direct effect on depression in later life for both men and women. Other early stressors are mediated by later circumstances. Marital status is a significant independent predictor of depression in later life. Later life circumstances mediate between some marital statuses and depressive symptoms. When later life circumstances are included, widowhood and, for men, divorce, are directly associated with depression, but singlehood is not. Income in later life is strongly associated with depressive symptoms for women.

CONCLUSION

Both early and later life circumstances affect late-life depressive symptoms. Our findings indicate that previous studies which did not consider both may have underestimated or overestimated the effect of marital status, education, current health and education on depressive symptoms.

摘要

目的

本文通过考察爱尔兰 65 岁及以上男性和女性的早期和晚年生活环境对抑郁症状的影响,为抑郁和生命历程的文献做出贡献。

方法

数据来自爱尔兰老龄化纵向研究的第一波调查,这是一项对 50 岁及以上的 8504 名社区居住成年人具有代表性的全国性样本。约有 3507 名 65 岁及以上的受访者被纳入分析。使用多项逻辑回归来检验与婚姻状况相关的童年和成年早期生活环境。估计了一系列嵌套模型,以评估哪些童年和成年环境与抑郁症状相关。为男性和女性分别估计模型。

结果

儿童期和晚年的健康状况对男性和女性晚年的抑郁有强烈而直接的影响。其他早期压力源通过后来的情况得到调解。婚姻状况是晚年抑郁的一个重要独立预测因素。后来的生活环境在某些婚姻状况和抑郁症状之间起中介作用。当包括后来的生活环境时,丧偶和对男性来说,离婚与抑郁直接相关,但单身则不然。晚年的收入与女性的抑郁症状密切相关。

结论

早期和晚年的生活环境都会影响晚年的抑郁症状。我们的研究结果表明,以前没有同时考虑这两个因素的研究可能低估或高估了婚姻状况、教育、当前健康和教育对抑郁症状的影响。

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