Nie Zuoting, Tracy Eunjin Lee, Du Yan, Yang Rumei
School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China.
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Geriatr Nurs. 2023 Mar-Apr;50:138-142. doi: 10.1016/j.gerinurse.2023.01.002. Epub 2023 Feb 11.
Falls and depressive symptoms are prevalent and costly. Although they are frequently interrelated, the nature of interrelationships between them was not well understood. Therefore, using longitudinal data, we aimed to explore whether there is a longitudinal bidirectional relationship between falls and depressive symptoms among older Chinese and whether this is different for men and women.
Older adults aged 60 years+ who completed all 2011, 2013, 2015 waves of data from the China Health and Retirement Longitudinal Study on falls and depressive symptoms were included (N=2,203). Random intercept multilevel models were used to analyze data.
Significant bidirectional associations at between-person (b=0.09, SE=0.01, p<0.001) and within-person levels (b=0.05, SE=0.02, p=0.005) were observed between depressive symptoms and falls. When participants reported falls, they reported higher levels of depressive symptoms. However, no gender differs in these relationships.
Regardless of gender, there are significant bidirectional associations between falls and depressive symptoms.
跌倒和抑郁症状普遍存在且代价高昂。尽管它们常常相互关联，但二者之间相互关系的本质尚未得到充分理解。因此，我们利用纵向数据，旨在探讨中国老年人跌倒与抑郁症状之间是否存在纵向双向关系，以及这种关系在男性和女性中是否存在差异。
纳入年龄在60岁及以上、完成了中国健康与养老追踪调查2011年、2013年、2015年所有关于跌倒和抑郁症状数据收集的老年人（N = 2203）。采用随机截距多水平模型分析数据。
在个体间水平（b = 0.09，标准误 = 0.01，p < 0.001）和个体内水平（b = 0.05，标准误 = 0.02，p = 0.005）均观察到抑郁症状与跌倒之间存在显著的双向关联。当参与者报告跌倒时，他们报告的抑郁症状水平更高。然而，这些关系在性别上没有差异。
无论性别如何，跌倒与抑郁症状之间均存在显著的双向关联。
