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中文老年人药物滥用、焦虑和抑郁的相关性:来自中国长寿纵向研究的证据。

Association Between Polypharmacy, Anxiety, and Depression Among Chinese Older Adults: Evidence from the Chinese Longitudinal Healthy Longevity Survey.

机构信息

School of Nursing, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China.

Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.

出版信息

Clin Interv Aging. 2022 Mar 6;17:235-244. doi: 10.2147/CIA.S351731. eCollection 2022.

Abstract

PURPOSE

To investigate the association between polypharmacy, anxiety, and depression among Chinese older adults.

PATIENTS AND METHODS

The data used in this study were from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), the 2018 wave. Polypharmacy status was measured by the accumulation of self-reported medications. Anxiety and depression were assessed by the Generalized Anxiety Disorder (GAD-7) scale and the Center for Epidemiologic Studies Depression Scale (CES-D-10), respectively. Logistic regression models were performed.

RESULTS

A total of 2484 Chinese older adults (female: 1321, 53.2%) aged from 60 to 117 years old were included in the analysis. Regression analysis showed that polypharmacy was associated with depression after controlling for the covariates. No association was observed between polypharmacy and anxiety.

CONCLUSION

There was a suggestive link between polypharmacy and depression among Chinese older adults. Having polypharmacy might be an indicator for the possible depression among this population, but a comprehensive assessment of polypharmacy is necessary.

摘要

目的

探讨中国老年人中药物使用种类与焦虑、抑郁之间的关系。

方法

本研究使用的数据来自中国老年健康纵向研究(CLHLS)2018 年的调查数据。药物使用种类通过自我报告的用药种类来衡量。焦虑和抑郁分别通过广泛性焦虑障碍量表(GAD-7)和流行病学研究中心抑郁量表(CES-D-10)进行评估。采用逻辑回归模型进行分析。

结果

共纳入 2484 名年龄在 60 至 117 岁之间的中国老年人(女性:1321 名,53.2%)。回归分析显示,在控制了协变量后,药物使用种类与抑郁相关,但与焦虑无关。

结论

在中国老年人中,药物使用种类与抑郁之间存在一定关联。药物使用种类可能是该人群发生抑郁的一个指标,但需要对药物使用种类进行全面评估。

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