子女代际支持对农村空巢老年人抑郁的影响
Effects of intergenerational support from children on depression in rural empty nesters
蔡钺 1景正月 1薛宇2
作者信息
- 1. 南京医科大学医政学院,江苏南京 211166
- 2. 南京医科大学医政学院,江苏南京 211166;江苏食品药品职业技术学院,江苏淮安 223023
- 折叠
摘要
目的 探讨子女代际支持与农村空巢老年人抑郁症状的关系,为农村空巢老年人的抑郁防治提供参考依据.方法 纳入2018年中国健康与养老追踪调查数据(CHARLS)中的研究对象1 756例,采用流行病学研究中心抑郁量表(CESD-10)衡量农村空巢老人抑郁症状,从经济支持、精神慰藉和日常照料三个维度测量子女代际支持,运用多因素logistic回归模型分析子女代际支持与农村空巢老年人抑郁症状的关系.结果 在1 756例研究对象中,患有抑郁症状的农村空巢老人共有702人(39.98％).抑郁组子女经济支持(取其自然对数)低于非抑郁组(7.82±1.28 vs 8.06±1.26,t=3.892,P＜0.01),抑郁组子女精神慰藉得分低于非抑郁组[(3.44±2.10)分vs(3.80±2.20)分,t=3.426,P＜0.01],抑郁组子女提供日常照料的比例更低(32.97％vs 52.51％,x2=8.478,P=0.004).多因素logistic回归分析显示,子女经济支持(OR=0.874,95％CI:0.804～0.950)、子女精神慰藉(OR=0.916,95％CI:0.870～0.964)、子女日常照料(OR=0.667,95％CI:0.494～0.901)是空巢老人抑郁的保护因素(P＜0.01).结论 我国有较多的农村空巢老人出现了抑郁症状,子女的代际支持可降低空巢老人的抑郁症状.
Abstract
Objective To explore the relationship between intergenerational support from children and depressive symptoms among rural empty-nesters,with a view to providing a reference basis for depression prevention and treatment among rural empty nesters.Methods A total of 1 756 participants from the 2018 China Health and Retirement Longitudinal Survey(CHARLS)were included.The Centre for Epidemiological Studies Depression Scale(CESD-10)was used to measure the depressive symptoms of rural empty nesters.The intergenerational support of children was measured in three dimensions:economic support,spiritual comfort and daily care.The multivariate logistic regression model was used to analyze the relationship between intergenerational support of children and the depressive symptoms of rural empty nesters elderly.Results A total of 702(39.98％)rural empty nesters suffered from depressive symptoms out of 1 756 study participants.Economic support(the value converted into natural logarithm)from children was lower in the depressed group than that in the non-depressed group(7.82±1.28 vs 8.06±1.26,t=3.892,P＜0.01),children's spiritual comfort scores were lower in the depressed group than those in the non-depressed group[(3.44±2.10)points vs(3.80±2.20)points,t=3.426,P＜0.001],and the depression group had a lower percentage of children providing daily care(32.97％vs 52.51％,x2=8.478,P=0.004).Multivariate logistic regression analysis showed that children's economic support(OR=0.874,95％CI:0.804-0.950),children's spiritual comfort(OR=0.916,95％CI:0.870-0.964),and children's daily care(OR=0.667,95％CI:0.494-0.901)were protective factors for depressive symptoms in the rural empty nesters(P＜0.01).Conclusion Plenty of the rural empty-nesters in China show depressive symptoms,and the intergenerational support from children is an important factor in effectively alleviating the depressive symptoms of this group.
关键词
代际支持/农村/空巢老年人/抑郁/经济支持Key words
Intergenerational support/Rural empty-nesters/Depression/Economic support引用本文复制引用
出版年
2024
NETL
NSTL
万方数据