首页|抑郁状态下老年人社会活动参与和自我忽视的相关性研究

抑郁状态下老年人社会活动参与和自我忽视的相关性研究

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目的 探讨抑郁状态下老年人社会活动参与和自我忽视的相关性.方法 采用分层整群抽样方法,使用马鞍山健康老龄化队列研究数据,以基线处于抑郁状态的648名老年人为研究对象,通过多因素logistic回归分析模型分析社会活动参与和自我忽视的相关性.结果 抑郁状态下老年人自我忽视总体得分为(7.42±5.10)分.调整混杂因素后,参与体育锻炼是老年总体自我忽视(OR=0.521,95%CI:0.359~0.758,P<0.01)及卫生自我忽视(OR=0.523,95%CI:0.332~0.822,P<0.01)、情感自我忽视(OR=0.537,95%CI:0.364~0.793,P<0.01)、社会交往自我忽视(OR=0.486,95%CI:0.334~0.709,P<0.001)的保护因素;参与友谊与关爱互动是老年总体自我忽视(OR=0.622,95%CI:0.423~0.916,P<0.05)及卫生自我忽视(OR=0.438,95%CI:0.268~0.717,P<0.01)、安全自我忽视(OR=0.236,95%CI:0.138~0.403,P<0.001)、社会交往自我忽视(OR=0.510,95%CI:0.345~0.755,P<0.01)的保护因素.结论 社会活动参与对马鞍山市抑郁状态下老年人自我忽视有一定保护,但是不同的社会活动参与内容影响不同.
Correlation between social activity participation and self-neglect in the elderly with depression
Objective To explore the association between social activity participation and self-neglect in the elderly with depression.Methods Using stratified cluster sampling method and data from the Healthy Aging Cohort Study in Ma'anshan,648 elderly people with depression at baseline were select-ed as subjects.Multivariate logistic regression was used to analyze the correlation between social activity participation and self-neglect.Results The overall score of self-neglect in depressed elderly was(7.42± 5.10).After adjusting for confounding factors,participation in physical activity was a protective factor for overall self-neglect(OR=0.521,95%CI:0.359~0.758,P<0.01)and in 3 dimensions of personal hy-giene self-neglect(OR=0.523,95%CI:0.332~0.822,P<0.01),emotional self-neglect(OR=0.537,95%CI:0.364~0.793,P<0.01),and social communication self-neglect(OR=0.486,95%CI:0.334~0.709,P<0.001)in older adults.Participation in friendship and care interaction was a pro-tective factor for the overall self-neglect of the elderly(OR=0.622,95%CI:0.423~0.916,P<0.05),which was also related to personal hygiene self-neglect(OR=0.438,95%CI:0.268~0.717,P<0.01),safety self-neglect(OR=0.236,95%CI:0.138~0.403,P<O.001)and social communication self-neglect(OR=0.510,95%CI:0.345~0.755,P<0.01).Conclusions Social activity participa-tion has certain protective effects against self-neglect of the depressed elderly in Ma'anshan City.Howev-er,different social activity participation contents may have different influences.

Self-neglectDepressionSocial activity participationThe elderly

刘梦卿、陈月、袁梦园、马少缔、秦其荣、屈光波、孙业桓、李杰

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安徽医科大学巢湖临床医学院临床医学系,合肥 230032

安徽医科大学第一临床医学院临床医学系,合肥 230032

安徽医科大学公共卫生学院儿少卫生与妇幼保健学系,合肥 230032

安徽医科大学公共卫生学院流行病与卫生统计学系,合肥 230032

马鞍山疾病预防控制中心社区服务与慢性病防治科,马鞍山 243011

安徽医科大学公共卫生学院预防医学教学中心,合肥 230032

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自我忽视 抑郁 社会活动参与 老年人

国家级大学生创新创业训练计划安徽省教育厅自然科学研究项目

2022103666031KJ2021A0231

2024

中华疾病控制杂志
中华预防医学会 安徽医科大学

中华疾病控制杂志

CSTPCD北大核心
影响因子:1.862
ISSN:1674-3679
年,卷(期):2024.28(5)