首页|基于统计模型的代际支持对老年人抑郁的影响研究

基于统计模型的代际支持对老年人抑郁的影响研究

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目的 研究代际支持对老年人抑郁的影响,为老年人抑郁的防治提供数据支撑.方法 运用2018年"中国老年健康调查"(Chinese longitudinal healthy longevity survey,CLHLS)数据,采用x2检验进行单因素分析,建立二元logistic回归模型和卡方自动交互检测法(Chi-squared automatic interaction detection,CHAID),研究代际支持对老年人抑郁的影响.结果 二元logistic回归分析结果显示,有心事首选对象是子女(OR=0.915,95%CI:0.874~0.985)及父母对子女有经济支持(OR=0.356,95%CI:0.198~0.459)是老年人抑郁的保护因素.有困难首选子女、女性、生活满意度一般、生活满意度不好、自评健康一般、自评健康不好、睡眠质量一般、睡眠质量不好、不在婚及日常生活活动能力(activities of daily living,ADL)低失能和ADL高失能是老年人抑郁的危险因素.CHAID的决策树结果显示,婚姻状态、教育水平、自评健康、生活满意度、睡眠质量、有困难首选子女、父母对子女的经济支持是老年人抑郁的影响因素.结论 情感支持、生活支持和经济支持均对老年人抑郁产生影响,应多与老年人交流,积极开导老年人,使其保持积极乐观的心态;同时,子女应更多给予老年人情感支持.两种模型在探究老年人抑郁的影响因素上均具有较高的应用价值,两者相互补充,有利于充分分析影响老年人抑郁的因素.
Study on the effect of intergenerational support on depression in older adults based on statistical model
Objective To study the effect of intergenerational support on depression in older adults,and to provide data support for the prevention and treatment of depression in older adults.Methods Using the data of the 2018"Chinese longitudinal healthy longevity survey"(CLHLS),the Chi-square test was used for univariate analysis,and the binary logistic regression model and Chi-squared automatic interaction detection(CHAID)were established to investigate the effect of intergenerational support on depression in older adults.Results The results of binary logistic regression analysis showed that choosing children as the first option for sharing worries(OR=0.915,95%CI:0.874-0.985)and parents'financial support for their children(OR=0.356,95%CI:0.198-0.459)were protective factors for depression in older adults.Preferring children for the first choice for intergenerational support during difficulties,females,moderate life satisfaction,poor life satisfaction,self-rated health was fair,self-rated poor health,average sleep quality,poor sleep quality,unmarried,low activitier of daily living(ADL)disability and ADL hyperdisability were risk factors for depression in older adults.The results of CHAID's decision tree showed that marital status,education levelself-rated health,life satisfaction,sleep quality,preferring children as the first choice for difficulties,and parents'financial support for children were the influencing factors of depression in older adults.Conclusion Emotional support,life support and financial support all have an impact on depression in older adults.More communication should be made with older adults,and older adults should be actively enlightened to maintain a positive and optimistic attitude.At the same time,children should give more emotional support to older adults.Both models have high application value in exploring the influencing factors of depression in older adults,and they complement each other,which is conducive to the sufficient analysis of the factors affecting depression in older adults.

Depression in older adultsIntergenerational supportLogistic regression modelDecision tree modelInfluencing factor

张乐、王朝才、刘燕、巫宇萌、王方、蒙元洁

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青海大学医学部公共卫生系,青海西宁 810001

青海省疾病预防控制中心

老年人抑郁 代际支持 logistic回归模型 决策树模型 影响因素

2025

医学动物防制
中国民主促进会河北省委员会

医学动物防制

影响因子:0.553
ISSN:1003-6245
年,卷(期):2025.41(1)