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日本老年人抑郁相关的社会因素:来自 AGES 项目的纵向面板数据分析。

Social factors relating to depression among older people in Japan: analysis of longitudinal panel data from the AGES project.

机构信息

a Division of Health Care Services Management, Department of Social Medicine, Nihon University School of Medicine , Tokyo , Japan.

b Center for Preventive Medical Sciences, Chiba University , Chiba , Japan.

出版信息

Aging Ment Health. 2019 Oct;23(10):1423-1432. doi: 10.1080/13607863.2018.1496225. Epub 2018 Nov 8.

Abstract

Preventing the onset of depression among older people in Japan requires clarifying the social determinants of depression by using longitudinal data, while also taking biological and psychological factors into account. Identification of such determinants may enable more active intervention through social policy. We aimed to reveal the social factors related to depression in Japan's older people and consider associated policy implications. Panel data obtained from a longitudinal survey (Wave 1 to Wave 2) of 3464 elderly subjects, aged 65 years or more, as part of the Aichi Gerontological Evaluation Study (AGES) project was employed. The outcome variable was depression, as evaluated by the Geriatric Depression Scale. Frequency of meeting with friends, social support, hobbies, participation in organizations, life events, illness, self-rated health, instrumental activities of daily living, and sense of coherence were entered as explanatory variables within a logit model for each gender. Of the subjects without mental illness or depression at Wave 1, 14% had become depressed by Wave 2. In both men and women, life events predicted increased odds of depression, while sense of coherence predicted reduced odds. The frequency of meeting with friends, hobbies, and self-rated health predicted reduced odds of depression in men, while age predicted increased odds in women. Overall, social interaction is important for preventing depression in Japan, and that the establishment of a system capable of promoting social interaction and providing care to the elderly during life events may be a useful social policy approach to preventing depression.

摘要

预防日本老年人抑郁的发生需要利用纵向数据明确抑郁的社会决定因素,同时考虑到生物和心理因素。确定这些决定因素可能通过社会政策实现更积极的干预。我们旨在揭示与日本老年人抑郁相关的社会因素,并考虑相关的政策意义。

使用来自爱知老年评估研究(AGES)项目的纵向调查(第 1 波至第 2 波)中 3464 名 65 岁及以上老年人的面板数据,作为研究对象。第 1 波无精神疾病或抑郁的受试者中,14%在第 2 波时出现抑郁。第 1 波和第 2 波均发现,生活事件预测抑郁发生的几率增加,而心理一致感则预测抑郁发生的几率降低。在男性中,与朋友的会面频率、爱好和自我健康评估预测抑郁发生的几率降低,而年龄则预测女性抑郁发生的几率增加。

总之,社会互动对于预防日本的抑郁很重要,建立一个能够在生活事件期间促进社会互动和为老年人提供关怀的系统,可能是预防抑郁的一种有用的社会政策方法。

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