Lin Wenjie, Zhang Danling, Wang YiMin, Zhang Li, Yang Jianchuan
Department of Physician, Community Health Service Center of Shangdu Street, Fuzhou, Fujian, China.
Department of Ultrasonography, Fujian Medical University Union Hospital, Fuzhou, China.
Front Psychol. 2024 Feb 16;15:1308397. doi: 10.3389/fpsyg.2024.1308397. eCollection 2024.
To explore prevalence of depression and its influencing factors in middle-aged and elderly patients with chronic diseases.
Data were extracted from the 2018 China Health and Retirement Tracking Survey (CHARLS) for 6,704 middle-aged and elderly patients ≥45 years with chronic diseases. The influencing variables were selected based on LASSO-logistic regression model, and a nomogram was further drawn to visualize regression results.
Comorbidity between chronic diseases and depression symptoms were detected in 3058 individuals (45.6%). Female, rural, lower education, poor, insomnia, multiple chronic disease, and functional impairment were associated with a higher proportion of depression. Meanwhile, family interaction, intergenerational financial support, social activity intensity, and satisfaction with life can protect against depression.
Depressive symptoms are common in Chinese older adults with chronic diseases. They need regular assessment and intervention, especially those with multiple diseases, female, rural, alone, impaired, poor sleep, or poor economy. These high-risk elders also need family, medical, and social support and care.
探讨中老年慢性病患者抑郁症的患病率及其影响因素。
数据来源于2018年中国健康与养老追踪调查（CHARLS），纳入6704名年龄≥45岁的中老年慢性病患者。基于LASSO逻辑回归模型选择影响变量，并进一步绘制列线图以直观呈现回归结果。
3058名个体（45.6%）存在慢性病与抑郁症状共病情况。女性、农村居民、低学历、贫困、失眠、多种慢性病以及功能障碍与较高比例的抑郁症相关。同时，家庭互动、代际经济支持、社会活动强度和生活满意度可预防抑郁症。
抑郁症状在中国患有慢性病的老年人中很常见。他们需要定期评估和干预，尤其是那些患有多种疾病、女性、农村居民、独居、功能受损、睡眠不佳或经济状况较差的人。这些高危老年人也需要家庭、医疗和社会的支持与关爱。
