Analysis on depression status and influencing factors in Chinese elderly multiple chronic disease patients based on CHARLS data
Objective To explore the current status and influencing factors of depression in elderly multiple chronic dis-ease patients,so as to provide the reference for development of targeted depression prevention and control measures.Methods Based on the data of China Health and Retirement Longitudinal Study(CHARLS)in 2020,data on the basic characteristics,comorbidities,depression,activities of daily living(ADL)and instrumental activities of daily living(IADL),social activities of elderly people aged≥60 years with≥2 chronic diseases were collceted.x2 test was used to analyze the depression status of elderly patients with comorbidities of chronic diseases,and binary logistic regression was used to analyze the influencing factors of depression in elderly patients with comorbidities of chronic diseases.Results A total of 5 382 elderly multiple chronic disease patients were included,of whom 2 509 had depressive symptoms,account-ing for 46.6％(2 509/5 382).The influencing factors of depression status in elderly multiple chronic disease patients were gender(female OR=1.489,95％CI:1.282-1.731),place of residence(urban OR=0.688,95％CI:0.593-0.799),type of pension insurance(government agency/public institution pension insurance OR=0.562,95％CI:0.371-0.851),type of medical insurance(urban employee medical insurance/public medical insurance OR=0.644,95％CI:0.429-0.968),whether there is a spouse/partner living together(no OR=1.35,95％CI:1.152-1.582),satisfaction with children(satis-faction OR=0.254,95％CI:0.187-0.345).Nighttime sleep duration(＜6 hours OR=2.077,95％CI:1.758-2.453),ADL(undamaged OR=0.519,95％CI:0.45-0.597),IADL(undamaged OR=0.462,95％CI:0.401-0.532),number of chronic diseases(2 types OR=0.599,95％CI:0.518-0.692;3 types OR=0.723,95％CI:0.621-0.842)(P＜0.05).Con-clusion The incidence of depression is higher in elderly multi-ple chronic disease patients.Women,lack of spouse/partner living together,and nighttime sleep duration＜6 hours are risk factors for depression.Those who reside in urban areas,have undamaged ADL and IADL,are satisfied with their children,have fewer chronic diseases,have government/public institution pension insurance,and have urban employee medical insur-ance/public medical insurance are protective factors for depression.
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NSTL
万方数据
