Choi Sarah E, Reed Preston L, Sarkisian Catherine A
Res Gerontol Nurs. 2013 Oct;6(4):283-92. doi: 10.3928/19404921-20130820-01. Epub 2013 Aug 26.
This study examined age and gender differences in the relationship between diabetes-specific quality of life (DQOL) and depressive symptoms among Korean immigrants with type 2 diabetes. In this cross-sectional study, 160 Korean immigrants ages 40 to 80 with diabetes were assessed for depressive symptoms, DQOL, and related demographic, clinical, and psychosocial factors. The relationship between DQOL and depressive symptoms was stronger for men than women. Whereas there were no main effects of age or gender in predicting depressive symptoms, there was a significant three-way interaction between gender, age (middle-aged or older), and DQOL on depressive symptoms, with older men demonstrating the strongest positive association between DQOL and depression. Age and gender differences should be considered for DQOL and depressive symptoms in Korean immigrants with diabetes. Efforts to address DQOL may likely have the greatest impact in decreasing depressive symptoms when targeted to older male Korean immigrants.
本研究调查了2型糖尿病韩国移民中糖尿病特异性生活质量(DQOL)与抑郁症状之间关系的年龄和性别差异。在这项横断面研究中,对160名年龄在40至80岁之间的患有糖尿病的韩国移民进行了抑郁症状、DQOL以及相关人口统计学、临床和心理社会因素的评估。DQOL与抑郁症状之间的关系在男性中比女性更强。虽然年龄或性别在预测抑郁症状方面没有主效应,但性别、年龄(中年或老年)和DQOL之间在抑郁症状上存在显著的三向交互作用,老年男性在DQOL与抑郁之间表现出最强的正相关。对于患有糖尿病的韩国移民的DQOL和抑郁症状,应考虑年龄和性别差异。针对老年韩国男性移民解决DQOL问题的努力可能在减轻抑郁症状方面产生最大影响。