中国中老年人的抑郁症状与医疗服务利用情况：一项基于全国人口的纵向调查
Depressive symptoms and health service utilization among Chinese middle-aged and older adults: a national population-based longitudinal survey.
作者信息
Guo Jing, Kong Dexia, Fang Liming, Zhu Yingxue, Zhang Bo
机构信息
Center for Health Policy and Technology Evaluation, Department of Health Policy and Management, School of Public Health, Peking University, Beijing, P. R. China.
Institute for Health, Health Care Policy, and Aging Research, Rutgers University, Piscataway, NJ, USA.
出版信息
Int J Ment Health Syst. 2021 Jan 6;15(1):2. doi: 10.1186/s13033-020-00421-3.
OBJECTIVES
This study aimed to (1) examine the cross-sectional and longitudinal relationships between depressive symptoms and health services utilization among Chinese middle-aged and older adults; and (2) evaluate whether there exists a rural-urban difference in such relationships.
METHODS
Data was obtained from China Health and Retirement Longitudinal Study (CHARLS) in 2013 and 2015, a nationally representative survey of 13,551 adults aged 45 years and above in China.
RESULTS
Depressive symptoms were positively associated with a greater likelihood of outpatient and inpatient health services utilization. This association was consistent across rural and urban settings, indicating the robustness of such findings across geographic areas.
CONCLUSIONS
Findings indicate that depressive symptoms are significantly associated with both in-patient and out-patient health service utilization among Chinese adults. Screening for depressive symptoms needs to be incorporated in these care settings in China.
目的
本研究旨在（1）探讨中国中老年人抑郁症状与卫生服务利用之间的横断面和纵向关系；（2）评估这种关系在城乡之间是否存在差异。
方法
数据来自2013年和2015年的中国健康与养老追踪调查（CHARLS），这是一项对中国13551名45岁及以上成年人的全国代表性调查。
结果
抑郁症状与门诊和住院卫生服务利用的可能性增加呈正相关。这种关联在农村和城市地区都是一致的，表明这些发现在不同地理区域具有稳健性。
结论
研究结果表明，中国成年人的抑郁症状与住院和门诊卫生服务利用均显著相关。在中国，这些医疗环境中需要纳入抑郁症状筛查。
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