中国老年人抑郁与社会参与的双重轨迹
Dual trajectories of depression and social participation among Chinese older adults.
作者信息
Pan Chaoping, Cao Na
机构信息
School of Public Health and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China.
School of Public Health and Management, Wenzhou Medical University, Wenzhou City, Zhejiang Province, China; School of Public Health, Wuhan University, Wuhan City, Hubei Province, China.
出版信息
Geriatr Nurs. 2023 Sep-Oct;53:153-161. doi: 10.1016/j.gerinurse.2023.07.013. Epub 2023 Aug 2.
OBJECTIVES
This study aimed to investigate the dual trajectories of social participation (SP) and depression among older adults, and explore common factors that may influence both trajectories.
METHODS
The study utilized data from four waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011 to 2018). The dual-trajectory model was employed to estimate the dual trajectories of SP and depression.
RESULTS
This study identified two SP and three depression trajectories. The results revealed that the reciprocal relationship between SP and depression trajectories is confirmed in all sub-groups of the dual trajectories. Our study identified six distinct sub-groups of individuals based on their SP and depression trajectories and some commen risk factors of SP and depression trajectories.
CONCLUSIONS
Related intervention policies should consider the dual trajectories of SP and depression and focus on subgroups with high vulnerability, such as high depression but low SP. Additionally, attention should be given to addressing the common risk factors that underlie these trajectories.
目的
本研究旨在调查老年人社会参与（SP）和抑郁的双重轨迹，并探索可能影响这两条轨迹的共同因素。
方法
该研究使用了中国健康与养老追踪调查（CHARLS，2011年至2018年）四轮调查的数据。采用双重轨迹模型来估计社会参与和抑郁的双重轨迹。
结果
本研究确定了两条社会参与轨迹和三条抑郁轨迹。结果显示，社会参与和抑郁轨迹之间的相互关系在双重轨迹的所有亚组中都得到了证实。我们的研究根据社会参与和抑郁轨迹确定了六个不同的个体亚组，以及社会参与和抑郁轨迹的一些共同风险因素。
结论
相关干预政策应考虑社会参与和抑郁的双重轨迹，并关注高脆弱性亚组，如高抑郁但低社会参与的亚组。此外，应注意解决这些轨迹背后的共同风险因素。
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