首页|中国中老年人感觉障碍与抑郁症状的关联探索——基于CHARLS的队列研究

中国中老年人感觉障碍与抑郁症状的关联探索——基于CHARLS的队列研究

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目的:探索感觉障碍与抑郁症状的纵向关联,为抑郁的预防提供依据.方法:采用中国健康与养老追踪调查(CHARLS)2011-2020年的数据.感觉障碍由听觉障碍和视觉障碍两个指标构成,听觉障碍和视觉障碍均为自报.根据听觉和视觉情况将研究对象分为4组:无听觉和视觉障碍(NSI)组、仅听觉障碍(HI)组、仅视觉障碍(VI)组、听觉和视觉双重障碍(DSL)组.抑郁症状根据简版流调用抑郁自评量表(CESD-10)进行评估.采用Cox比例风险模型检验感觉障碍与抑郁症状的纵向关联.结果:共纳入12 952例研究对象,其中HI组745例(5.8%),VI组2 756例(21.3%),DSL组671例(5.2%).在随访期间(中位随访时间5.42年),共5 498例研究对象检出抑郁症状.Cox比例风险模型结果显示,在未调整模型中,HI组、VI组和DSI组出现抑郁症状的风险均高于NSI组(P<0.05).调整了社会人口学、行为生活方式及健康相关因素后,HI组出现抑郁症状的风险是NSI组的1.24倍(95%CI:1.09~1.41),VI组出现抑郁症状的风险是NSI组的1.20倍(95%CI:1.11~1.29),DSI组出现抑郁症状的风险是NSI组的1.37倍(95%CI:1.21~1.56).结论:自我报告的VL、HL或DSL与抑郁症状之间存在纵向关联,应重点关注VL和HL患者的心理健康状况.
The correlation between sensory impairments and depressive symptoms among Chinese older adults:a cohort study based on CHARLS
Objective:To explore the longitudinal correlation between sensory impairments and depressive symp-toms to provide evidence for the prevention of depression.Methods:This study utilized data from the China health and retirement longitudinal study(CHARLS)spanning the years 2011 to 2020.Sensory impairments were defined by self-reported indicators of hearing and visual impairments.Participants were categorized into four groups based on their hearing and visual conditions:no sensory impairment(NSI)group,hearing impairment on-ly(HI)group,vision impairment only(VI)group,and dual sensory impairments(DSL)group.Depressive symp-toms were assessed using the Center for Epidemiological Studies Depression Scale(CESD-10).The longitudinal association between sensory impairments and depressive symptoms was investigated using Cox proportional haz-ard models.Results:A total of 12,952 participants were included in the study,with 745(5.8%)in the HI group,2,756(21.3%)in the VI group,and 671(5.2%)in the DSL group.During a median follow-up period of 5.42 years,5,498 participants exhibited depressive symptoms.Cox proportional hazard model results showed that in the un-adjusted model,the risk of depressive symptoms was higher in the HI,VI,and DSL groups compared with the NSI group(P<0.05).After adjusting for sociodemographic,lifestyle,and health-related factors,the risk of de-pressive symptoms in the HI group was 1.24 times higher than that in the NSI group(95%CI:1.09-1.41),the VI group was 1.20 times(95%CI:1.11-1.29),and the DSL group was 1.37 times(95%CI:1.21-1.56).Conclusion:There is a longitudinal association between self-reported visual,hearing,or dual sensory impairments and depres-sive symptoms.Attention should be focused on the mental health of individuals with hearing and vision impair-ments.

hearing impairmentvision impairmentdual sensory impairmentsdepressive symptoms

饶珊、卞之琳、蒋丹、王桢、赵雨柔、邱培媛、况伟宏

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四川大学华西心理卫生中心,成都 610041

成都锦欣精神病医院,成都 610041

四川大学华西公共卫生学院,成都 610041

成都市第四人民医院,成都 610041

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听觉障碍 视觉障碍 听觉和视觉双重障碍 抑郁症状

国家自然科学基金四川省自然科学基金

721741332022NSFSC0668

2024

广西医科大学学报
广西医科大学

广西医科大学学报

CSTPCD
影响因子:0.788
ISSN:1005-930X
年,卷(期):2024.41(3)
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