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社会经济因素对瑞典女性和男性临近退休时抑郁症状的预测作用。

Socio-economic predictors of depressive symptoms around old age retirement in Swedish women and men.

机构信息

a Stress Research Institute, Stockholm University , Stockholm , Sweden.

出版信息

Aging Ment Health. 2019 May;23(5):558-565. doi: 10.1080/13607863.2018.1430741. Epub 2018 Jan 25.

Abstract

OBJECTIVES

To estimate trajectories of depression around old age retirement in Swedish women and men and examine if socio-economic status predicted the trajectories Methods: The analytic sample comprised 907 women and 806 men from the Swedish Longitudinal Occupational Survey of Health. B-spline smoothers and group-based trajectory modelling were used to identify groups of individuals with similar trajectories of depressive symptoms around retirement. Multinomial regression analyses were conducted to investigate if socio-economic factors were associated with odds of belonging to trajectory groups with higher depression scores.

RESULTS

Four depressive symptoms trajectories were identified in both genders, all showing similar symptom levels across the retirement transition. Low levels of depressive symptoms were observed in the three largest groups. In the last trajectory group among women (2.5%) depression scores were moderate to severe and among men (3.3%) depression scores were persistent moderate. Higher educational level and lower subjectively rated social status were associated with higher odds of belonging to trajectory groups with higher levels of depressive symptoms in both genders.

CONCLUSION

Retirement transition was not associated with symptoms of depression. Higher educational level and lower subjective social status may predict higher depressive symptom levels the years around old age retirement.

摘要

目的

估计瑞典女性和男性在接近老年退休时抑郁的轨迹,并探讨社会经济地位是否可以预测这些轨迹。

方法

分析样本包括来自瑞典职业健康纵向调查的 907 名女性和 806 名男性。使用 B 样条平滑器和基于群组的轨迹建模来识别具有相似抑郁症状轨迹的个体群体。进行多变量回归分析以调查社会经济因素是否与具有较高抑郁评分的轨迹组的归属概率相关。

结果

在两种性别中都确定了四个抑郁症状轨迹,所有轨迹在退休过渡期间都表现出相似的症状水平。在三个最大的群体中观察到低水平的抑郁症状。在女性的最后一个轨迹组(2.5%)中,抑郁评分处于中度到重度,而在男性中(3.3%),抑郁评分持续处于中度。在两种性别中,较高的教育水平和较低的主观社会地位与较高的抑郁症状水平的轨迹组的归属概率更高相关。

结论

退休过渡与抑郁症状无关。较高的教育水平和较低的主观社会地位可能预示着老年退休前后更高的抑郁症状水平。

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