School of Sociology, Huazhong University of Science and Technology, Wuhan 430074, China.
Department of Health Policy and Management, School of Public Health, Peking University, 100191, Beijing, China.
J Affect Disord. 2021 Mar 15;283:216-222. doi: 10.1016/j.jad.2021.01.081. Epub 2021 Feb 2.
Previous studies have suggested that sensory loss is linked to depression. However, most of these studies have been conducted in developed countries and the results are mixed.
The current study aims to examine the longitudinal relationship between hearing loss, vision loss, dual sensory loss, and depression among Chinese older adults over four years.
The data were obtained from the China Health and Retirement Longitudinal Survey (CHARLS). In total, 6353 Chinese older adults aged 60 years and over were included at baseline in this study. Self-reported hearing and vision status was used, and dual sensory loss was a combined variable of hearing loss and vision loss. Depressive symptoms were assessed by The Center for Epidemiologic Studies Depression Scale (CESD-10). The baseline relationship between sensory loss and depression was explored by logistic regression analyses. A logistic mixed model was used to assess whether baseline sensory loss was associated with incident depression for older adults with no depressive symptoms at baseline over four years.
At baseline, vision loss (OR=1.46, 95%CI: 1.19-1.79) and dual sensory loss (OR=2.14, 95%CI: 1.77-2.58) were associated with depression, while hearing loss was not. After four years, vision loss (OR=1.60, 95%CI: 1.16-2.22) and dual sensory loss (OR=1.78, 95%CI: 1.32-2.41) were associated with incident depression.
Not all potential confounding factors are measured and adjusted in the analysis. Apart from that, all measurements of interest are self-reported scales.
Vision loss and dual sensory loss are significantly associated with both onset and increased depressive symptoms over time, while hearing loss is not associated with depression. Interactions between all types of sensory loss and social activities are not significant. Our results suggest that target mental health intervention programs should be delivered to vision loss or dual sensory loss populations.
先前的研究表明，感觉丧失与抑郁有关。然而，这些研究大多在发达国家进行，结果不一。
本研究旨在探讨中国老年人在四年内听力损失、视力损失、双重感觉损失与抑郁之间的纵向关系。
数据来自中国健康与退休纵向研究（CHARLS）。本研究共纳入了 6353 名年龄在 60 岁及以上的中国老年人。使用自我报告的听力和视力状况，双重感觉损失是听力损失和视力损失的综合变量。抑郁症状采用流行病学研究中心抑郁量表（CESD-10）评估。采用逻辑回归分析探讨感觉损失与抑郁的基线关系。采用逻辑混合模型评估基线感觉损失是否与四年内无基线抑郁症状的老年人新发抑郁有关。
基线时，视力损失（OR=1.46，95%CI：1.19-1.79）和双重感觉损失（OR=2.14，95%CI：1.77-2.58）与抑郁有关，而听力损失则无关。四年后，视力损失（OR=1.60，95%CI：1.16-2.22）和双重感觉损失（OR=1.78，95%CI：1.32-2.41）与新发抑郁有关。
分析中未测量和调整所有潜在的混杂因素。除此之外，所有感兴趣的测量都是自我报告的量表。
视力损失和双重感觉损失与抑郁的发生和随时间增加的抑郁症状显著相关，而听力损失与抑郁无关。所有类型的感觉损失与社会活动之间的相互作用不显著。我们的结果表明，应该向视力损失或双重感觉损失人群提供有针对性的心理健康干预计划。
