Department of Internal Medicine, Division of Geriatric and Palliative Medicine, UTHealth, University of Texas McGovern Medical School at Houston, Houston, TX, USA.
Facultad de Salud, Escuela de Rehabilitación Humana, Universidad Del Valle, Cali, Colombia.
Aging Ment Health. 2020 Nov;24(11):1879-1885. doi: 10.1080/13607863.2019.1660851. Epub 2019 Sep 5.
The objective of this study was to examine the relationship between depressive symptoms and religiosity among older adults in Colombia. Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 19,004 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Depressive symptoms were measured using the Geriatric Depression scale (GDS; range 0-15), examined both as a continuous and categorical variable. Religiosity was assessed by self-rated religiosity and comfort derived from religion. Logistic and linear regression analyses were used to assess the association adjusting for confounders. Multivariate logistic regression analyses demonstrated that being more religious (OR = 0.90, 95% CI = 0.85-0.95, < .001) or perceiving greater strength or comfort from religion (OR = 0.88, 95% CI = 0.82-0.93, < .001) was associated with a lower likelihood of scoring above the cutoff on the GDS for significant depressive symptoms (≥6). Similarly, linear regression analyses indicated that being more religious (unstandardized beta coefficient = -0.16, < .001) or perceiving greater strength or comfort from religion ( = -0.20, < .001) was associated with a significantly lower score on the GDS assessed on a continuous scale. Being more religious or perceiving greater strength or comfort from religion is associated with fewer depressive symptoms among older adults in Colombia.
本研究旨在探讨哥伦比亚老年人抑郁症状与宗教信仰之间的关系。数据来自 SABE（健康、福利和老龄化）哥伦比亚研究，这是一项 2015 年进行的横断面调查，涉及哥伦比亚城乡地区的 19004 名 60 岁及以上的社区居住成年人。抑郁症状使用老年抑郁量表（GDS；范围 0-15）进行测量，既作为连续变量又作为分类变量进行检查。宗教信仰通过自我评估的宗教信仰和宗教带来的舒适感来评估。使用逻辑回归和线性回归分析调整混杂因素后评估关联。多变量逻辑回归分析表明，更加虔诚（OR = 0.90，95%CI = 0.85-0.95，<0.001）或从宗教中感受到更大的力量或舒适感（OR = 0.88，95%CI = 0.82-0.93，<0.001）与 GDS 评分高于显著抑郁症状（≥6）的可能性较低相关。同样，线性回归分析表明，更加虔诚（未标准化的β系数= -0.16，<0.001）或从宗教中感受到更大的力量或舒适感（= -0.20，<0.001）与 GDS 评分呈显著负相关在连续量表上进行评估。在哥伦比亚，更加虔诚或从宗教中感受到更大的力量或舒适感与老年人的抑郁症状较少有关。
