摘要
目的 探讨自评健康和睡眠时间在中年女性疼痛和抑郁间的链式中介效应.方法 采用2023年11月公开发布的中国健康与养老追踪调查2020年相关数据.根据问卷中"基本信息"部分,收集45～59岁的中年女性的年龄、性别、文化程度等一般资料;"健康状况和功能"部分,收集自评健康、抑郁、疼痛程度及睡眠时间相关信息.采用Spearman秩相关分析检验中年女性疼痛、自评健康状况、抑郁、睡眠时间的相关性,Bootstrap法进行中介效应验证.结果 3 270名中年女性抑郁评分为8.00(5.00)分,自评健康得分3.00(1.00)分,睡眠时间为6.00(2.00)h,疼痛评分为2.00(2.00)分.1 345名中年女性存在抑郁,检出率为41.13％.抑郁和无抑郁的中年女性年龄、文化程度、居住地、婚姻状况、自评健康状况、睡眠时间、对生活满意度、子女关系满意度、疼痛程度比较,差异有统计学意义(P＜0.05).中年女性疼痛与抑郁呈正相关(rs＞0,P＜0.05);睡眠时间与抑郁、疼痛呈负相关(rs＜0,P＜0.05);自评健康与抑郁、疼痛呈负相关(rs＜0,P＜0.05),与睡眠时间呈正相关(rs＞0,P＜0.05).自评健康和睡眠时间在抑郁与疼痛中起链式中介作用,中介效应占总效应的7.66％.结论 自评健康和睡眠时间在中年女性疼痛和抑郁间存在链式中介作用.今后应以自评健康和睡眠时间作为切入点,降低中年女性抑郁的发生率.
Abstract
Objective To explore the chain mediating effect of self-rated health and sleep duration on pain and depression in middle-aged women.Methods The 2020 data of China health and retirement longitudinal survey released publicly in November 2023 were adopted.According to the"basic information"section of the questionnaire,the age,gender,and education level of middle-aged women aged 45-59 were collected;the"Health and functioning"section collected information about self-rated health,depression,pain levels,and sleep duration.Spearman rank correlation analysis was used to examine the correlation of pain,self-rated health status,depression,and sleep duration in middle-aged women,and Bootstrap method was used to verify the mediating effect.Results The scores of depression rating was 8.00(5.00)points,self-rated health score was 3.00(1.00)points,sleep time was 6.00(2.00)hours,and pain score was 2.00(2.00)points of 3 270 middle-aged women.A total of 1 345 middle-aged women had depression,the detection rate was 41.13％.There were significant differences in age,education level,residence,marital status,self-rated health status,sleep time,satisfaction with life,relationship with children,and pain degree between depressed and non-depressed middle-aged women(P＜0.05).There was a positive correlation between pain and depression in middle-aged women(rs＞0,P＜0.05);sleep duration was negatively correlated with depression and pain(rs＜0,P＜0.05);self-rated health was negatively correlated with depression and pain(rs＜0,P＜0.05),and positively correlated with sleep duration(rs＞0,P＜0.05).Self-rated health and sleep duration played a chain mediating role in depression and pain,and the mediating effect accounted for 7.66％of the total effect.Conclusion Self-rated health and sleep duration exhibit a chain mediating effect on pain and depression in middle-aged women.In the future,interventions targeting self-rated health and sleep duration should be considered to reduce the incidence of depression in this population.
基金项目
海南省自然科学基金高层次人才项目(821RC566)
海南省哲学社会科学规划课题(HNSKYB23-42)
NETL
NSTL
万方数据