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中国太原空巢老人与非空巢老人的心理健康及相关影响因素:一项横断面研究

Mental health and related influencing factors among the empty-nest elderly and the non-empty-nest elderly in Taiyuan, China: a cross-sectional study.

作者信息

Guo Y-Q, Zhang C-C, Huang H, Zheng X, Pan X-J, Zheng J-Z

机构信息

School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.

School of Management, Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

Public Health. 2016 Dec;141:210-217. doi: 10.1016/j.puhe.2016.09.005. Epub 2016 Oct 27.

Abstract

OBJECTIVE

In China, elderly make up a large proportion of the society, but their mental health is often overlooked. The aim of this study is to compare mental health and related influencing factors among the empty-nest and the non-empty-nest elderly, and attain the purpose of improving their quality of life.

STUDY DESIGN

Cross-sectional survey.

METHODS

A cross-sectional survey was conducted among 488 elderly people aged 60-92 years in six districts of Taiyuan, China. A demographic questionnaire and SCL-90-R were employed to collect demographic variables and evaluate mental health, respectively. Multiple regression analysis was performed to estimate factors related to mental health of the elderly.

RESULTS

The empty-nest elderly were mostly male, married, higher education level, higher income and living in urban areas. The scores of SCL-90-R among the empty-nest elderly were lower than those of the non-empty-nest elderly except for psychoticism. Comparing with scores of national norms, some dimension of SCL-90-R had statistically significant differences. Multiple regression analysis showed that the main risk factors of the empty-nest elderly were gender and income, whereas the main risk factor of the non-empty-nest elderly was chronic diseases.

CONCLUSION

The mental health status of the empty-nest elderly was better than that of the non-empty-nest elderly. Overall mental health of the study population was at a high level compared with national norms. The elderly who were male, with younger age, having higher income, and without chronic diseases had better mental health status.

摘要

目的

在中国,老年人在社会中占比很大,但他们的心理健康常常被忽视。本研究旨在比较空巢老人和非空巢老人的心理健康状况及相关影响因素,以达到改善他们生活质量的目的。

研究设计

横断面调查。

方法

在中国太原六个区对488名60 - 92岁的老年人进行了横断面调查。分别采用人口统计学问卷和症状自评量表(SCL - 90 - R)收集人口统计学变量并评估心理健康状况。进行多元回归分析以估计与老年人心理健康相关的因素。

结果

空巢老人大多为男性、已婚、受教育程度较高、收入较高且居住在城市地区。除精神病性因子外,空巢老人的SCL - 90 - R得分低于非空巢老人。与全国常模得分相比,SCL - 90 - R的某些维度存在统计学显著差异。多元回归分析表明,空巢老人的主要危险因素是性别和收入,而非空巢老人的主要危险因素是慢性病。

结论

空巢老人的心理健康状况优于非空巢老人。与全国常模相比,研究人群的总体心理健康处于较高水平。男性、年龄较小、收入较高且无慢性病的老年人心理健康状况较好。

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