Yu Meng, Wang Jialin, Xia Ying, Fan Yingying, Tang Qi, Wang Shuping, Ren Qianqian, Tao Yanmin
Res Gerontol Nurs. 2025 Mar-Apr;18(2):91-98. doi: 10.3928/19404921-20250122-02. Epub 2025 Jan 30.
To determine the status of depression and its key influencing factors among Chinese older adults in different living situations.
Data of 7,092 older adults were obtained from the China Health and Retirement Longitudinal Survey. This study analyzed key variables influencing depressive symptoms using random forest modeling and logistic regression.
The prevalence of depressive symptoms in older adults is 33.2%, with the highest prevalence of depression in older adults living alone (41.2%). Cognitive functioning and life satisfaction are psychological factors that affect older adults' mental health, whereas self-rated health and child relationship satisfaction are biological and social factors affecting their mental health, respectively. Furthermore, self-rated pain and limitations in activities of daily living were identified as risk factors for their mental health. Key factors affecting older adults' mental health differ between living situations.
Key factors of depressive symptoms in older adults differ across living situations, providing a priority and reference for differential prevention and precise intervention of depressive symptoms to promote a healthy aging process. Results of the current study may help clinicians better understand the pathogenesis of depression in older adults, guide clinical diagnosis and treatment, and develop individualized depression prevention and management strategies. [(2), 91-98.].
确定不同生活状况下中国老年人的抑郁状况及其关键影响因素。
从中国健康与养老追踪调查中获取7092名老年人的数据。本研究使用随机森林模型和逻辑回归分析影响抑郁症状的关键变量。
老年人抑郁症状的患病率为33.2%，其中独居老年人的抑郁患病率最高（41.2%）。认知功能和生活满意度是影响老年人心理健康的心理因素，而自评健康和亲子关系满意度分别是影响其心理健康的生物和社会因素。此外，自评疼痛和日常生活活动受限被确定为其心理健康的危险因素。影响老年人心理健康的关键因素因生活状况而异。
老年人抑郁症状的关键因素因生活状况而异，为抑郁症状的差异化预防和精准干预以促进健康老龄化进程提供了重点和参考。本研究结果可能有助于临床医生更好地理解老年人抑郁症的发病机制，指导临床诊断和治疗，并制定个性化的抑郁症预防和管理策略。[(2), 91 - 98.]
