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政治团体参与与老年人抑郁症状之间的关联:来自台湾的一项为期 11 年的纵向研究。

Association between political group participation and depressive symptoms among older adults: an 11-year longitudinal study in Taiwan.

机构信息

Department of Chinese Medicine, China Medical University Hospital, 40447 Taichung City, Taiwan, ROC.

Graduate Institute of Integrated Medicine, China Medical University, 40447 Taichung City, Taiwan, ROC.

出版信息

J Public Health (Oxf). 2022 Dec 1;44(4):778-786. doi: 10.1093/pubmed/fdab335.

Abstract

BACKGROUND

Given the speculation that political participation is causing an epidemic of depression, this study examined how participation in political and non-political groups influenced depressive symptoms among older adults in Taiwan.

METHODS

The 11-year follow-up data from the Taiwan Longitudinal Study on Ageing, covering 5334 persons aged 50 years and older, were analysed using random-effects panel logit models.

RESULTS

Engagement in social groups reduced the likelihood of depression (adjusted odds ratio [AOR]: 0.71, 95% confidence interval [CI]: 0.64-0.80). However, there was a greater likelihood of depressive symptoms among older adults who were engaged in political groups when compared with those who were engaged in non-political groups (AOR: 1.87, 95% CI: 1.31-2.65). For older adults who remained politically engaged, participation in a greater number of non-political group types was associated with a lower likelihood of depression (e.g. at 1: AOR: 0.53, 95% CI: 0.30-0.91; at 2+: AOR: 0.35, 95% CI: 0.18-0.67); this numbers-based effect was not prevalent among those who were solely engaged in non-political groups.

CONCLUSIONS

Political group attendance can result in negative mental health outcomes among older adults. Our findings suggest that reducing the prevalence of depression through social participation is conditional to the engagement type.

摘要

背景

鉴于有猜测称政治参与正在引发抑郁流行,本研究考察了参与政治和非政治团体如何影响台湾老年人的抑郁症状。

方法

使用随机效应面板逻辑回归模型对涵盖 5334 名 50 岁及以上人群的台湾老龄化纵向研究的 11 年随访数据进行分析。

结果

参与社会团体降低了抑郁的可能性(调整后的优势比 [AOR]:0.71,95%置信区间 [CI]:0.64-0.80)。然而,与参与非政治团体的老年人相比,参与政治团体的老年人更有可能出现抑郁症状(AOR:1.87,95% CI:1.31-2.65)。对于仍然积极参与政治的老年人来说,参与更多类型的非政治团体与较低的抑郁可能性相关(例如,1 个团体:AOR:0.53,95% CI:0.30-0.91;2 个团体:AOR:0.35,95% CI:0.18-0.67);而这种基于数量的效应在仅参与非政治团体的老年人中并不明显。

结论

政治团体的参与可能会对老年人的心理健康产生负面影响。我们的研究结果表明,通过社会参与来降低抑郁的患病率取决于参与的类型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3d/9715300/869ea53a5e1f/fdab335f1.jpg

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