Hu Xinyu, Liu Huan, Liu Qingwei, Yuan Ting, Duan Mengying, Luo Yang, Min Jiahui, Mei Guangliang, Tao Xiubin, Xuan Bin, Zhang Ming
Department of Cardiovascular, The Second Affiliated Hospital of Wangnan Medical College, Wuhu, Anhui, China.
Department of Hemodialysis, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, Anhui, China.
Front Public Health. 2024 Nov 15;12:1423391. doi: 10.3389/fpubh.2024.1423391. eCollection 2024.
With the acceleration of population aging, depressive symptoms in older adults have become an urgent global public health issue. It is critical to understand how to prevent and intervene the epidemic of depressive symptoms. Several studies have reported the prevalence of depressive symptoms among older adults in urban and rural China, but there is a lack of cross-sectional studies on the prevalence of depressive symptoms among older adults in Anhui Province after the COVID-19 pandemic.
Between December 2023 and February 2024, we used convenience sampling to randomly recruit 1,175 older people over 60 years old in Anhui Province, China. The PHQ-9 depressive symptom scale, frailty scale, and social frailty scale were used in the study. Logistic regression was used to analyze the association between frailty, social frailty, family health and depressive symptoms in older adults.
Of the 1,175 participants, 406 (34.6%) had depressive symptoms. Binary logistic regression results showed that Status of body pain ( < 0.001), Number of hospitalizations in the past year ( < 0.001), Status of social frailty ( < 0.001) and Status of frailty ( < 0.001) were highly correlated with depressive symptoms in older adults. While family health (OR = 0.53, 95% CI = 0.26-1.11, = 0.092) was a protective factor for depressive symptoms in older adults.
The prevalence of depressive symptoms among older adults is high in Anhui Province, China. Frailty, social frailty, and poor family health are associated with higher prevalence of depressive symptoms in older adults. Public health departments should pay more attention to the construction of mental health protection in the three environmental contexts of individual, family and society to promote healthy aging.
随着人口老龄化加速，老年人的抑郁症状已成为全球紧迫的公共卫生问题。了解如何预防和干预抑郁症状的流行至关重要。多项研究报告了中国城乡老年人抑郁症状的患病率，但缺乏关于新冠疫情后安徽省老年人抑郁症状患病率的横断面研究。
2023年12月至2024年2月，我们采用便利抽样法在中国安徽省随机招募了1175名60岁以上的老年人。本研究使用了PHQ-9抑郁症状量表、衰弱量表和社会衰弱量表。采用逻辑回归分析老年人衰弱、社会衰弱、家庭健康与抑郁症状之间的关联。
在1175名参与者中，406人（34.6%）有抑郁症状。二元逻辑回归结果显示，身体疼痛状况（<0.001）、过去一年住院次数（<0.001）、社会衰弱状况（<0.001）和衰弱状况（<0.001）与老年人抑郁症状高度相关。而家庭健康（OR = 0.53，95%CI = 0.26 - 1.11，P = 0.092）是老年人抑郁症状的保护因素。
在中国安徽省，老年人抑郁症状的患病率较高。衰弱、社会衰弱和家庭健康状况不佳与老年人抑郁症状的较高患病率相关。公共卫生部门应更加关注个体、家庭和社会这三个环境背景下的心理健康保护建设，以促进健康老龄化。
