Chain mediating effect of self-rated health and sleep duration between pain and depression in middle-aged women
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.
NETL
NSTL
万方数据
