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晚年的抑郁状态及相关预测因素:以色列的一项10年随访研究。

Depression statuses and related predictors in later life: A 10-year follow-up study in Israel.

作者信息

Khalaila Rabia

机构信息

Nursing Department, Zefat Academic College, 11 Jerusalem St., P.O.B. 160, Zefat, 13206 Israel.

出版信息

Eur J Ageing. 2016 Jun 28;13(4):311-321. doi: 10.1007/s10433-016-0384-1. eCollection 2016 Dec.

Abstract

The aim of the current study was to investigate the factors associated with depression statuses in a 10-year follow-up of community-dwelling older adults in Israel. Longitudinal data were used from the Israeli sample of the Survey of Health, Aging and Retirement in Europe, assessing the depressive symptoms in 1042 respondents, aged 50 or above, at three time points: 2004/2005 (Wave I); 2009/2010 (Wave II); and 2014/2015 (Wave III). Multinomial logistic regression was used to determine the relationships among explanatory variables and depression statuses (no-depression, intermittent depression, or persistent depression). Some 46.5 % of the participants suffered from intermittent or persistent depression. Five factors were associated with increasing the probability of both intermittent and persistent depression: being female, unemployed, less educated, physically disabled, and in poor health. Five other explanatory variables were associated only with a higher risk for persistent depression: low family income, widowhood, physical inactivity, more than two chronic diseases, and cognitive dysfunction. According to these findings, depression is common among older people in Israel. Low socio-economic status and poor subjective and physical health are significant determinants of depression statuses over time, underlining the importance of taking measures to improve these conditions in order to reduce the risk of depression in old age.

摘要

本研究的目的是调查在对以色列社区居住的老年人进行的10年随访中与抑郁状态相关的因素。使用了来自欧洲健康、老龄化和退休调查以色列样本的纵向数据,在三个时间点评估了1042名年龄在50岁及以上的受访者的抑郁症状:2004/2005年(第一轮);2009/2010年(第二轮);以及2014/2015年(第三轮)。采用多项逻辑回归来确定解释变量与抑郁状态(无抑郁、间歇性抑郁或持续性抑郁)之间的关系。约46.5%的参与者患有间歇性或持续性抑郁。五个因素与间歇性和持续性抑郁概率的增加相关:女性、失业、受教育程度较低、身体残疾和健康状况较差。另外五个解释变量仅与持续性抑郁的较高风险相关:家庭收入低、丧偶、缺乏身体活动、患有两种以上慢性病和认知功能障碍。根据这些发现,抑郁在以色列老年人中很常见。社会经济地位低以及主观和身体健康状况差是抑郁状态随时间变化的重要决定因素,这凸显了采取措施改善这些状况以降低老年抑郁风险的重要性。

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