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中国老年人群抑郁特征与政策启示

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目的 了解我国60岁及以上老年人群抑郁特征与变化趋势,为改善老年人心理健康水平提供依据.方法 采用中国家庭追踪调查(CFPS)2016、2018与2020年三波次调查数据,应用8题简版流调中心抑郁量表(CES-D 8)对老年人抑郁特征与变化趋势进行分析.结果 共得到3 020例有效样本,其中男性1 568(51.92%)人,女性1 452(48.08%)人.分析结果显示在2016-2020年间老年人群抑郁评分呈逐年增长趋势(F=4.98,P<0.01).女性老人抑郁评分均高于男性(t2016=9.31,P<0.001;t2018=9.36,P<0.001;t2020=8.82,P<0.001),农村老人抑郁评分高于城市老人(t2016=7.25,P<0.001;t2018=7.93,P<0.001;t2020=7.84,P<0.001),文盲老人抑郁评分高于非文盲老人(t2016=-9.68,P<0.001;t2018=-10.97,P<0.001;t202o=-7.71,P<0.001),患慢性病老人抑郁评分高于未患慢性病老人(t2016=-10.95,P<0.001;t2018=-6.75,P<0.001;t2020=-5.84,P<0.001),独居老人抑郁评分高于非独居老人(t2016=-6.10,P<0.001;t2018=-6.59,P<0.001;t2020=-6.73,P<0.001).结论 我国老年人群抑郁问题逐年加重,女性、农村、文盲、患慢性病与独居老年人抑郁问题更为明显.降低老年人群抑郁风险,改善老年人心理健康水平,需重点关注女性、文盲、患慢性疾病等老年弱势人群.
The characteristics of elderly depression in China and policy implications
Objective To explore the characteristics and changing trends of depression in the population aged 60 and above in China,and to provide basis for improving the mental health of the elderly.Methods Data from three waves of the China Family Panel Studies(CFPS)in 2016,2018,and 2020 were used for analysis.The 8-item Center for Epidemiologic Studies Depression Scale(CES-D 8)was applied to analyze the depressive char-acteristics of individuals aged 60 and above.Results A total of 3 020 valid tracking samples were obtained,in-cluding 1 568(51.92%)males and 1 452(48.08%)females.The analysis results revealed a year-on-year in-creasing trend in depression scores among the elderly from 2016 to 2020(F=4.98,P<0.01).Female depres-sion scores were consistently higher than male scores(t2016=9.31,P<0.001;t2018=9.36,P<0.001;t2020=8.82,P<0.001).Rural elderly individuals had higher depression scores compared to their urban counterparts(t2016=7.25,P<0.001;t2018=7.93,P<0.001;t2020=7.84,P<0.001).Depression scores were higher in il-literate elderly individuals compared to those who were not illiterate(t2016=-9.68,P<0.001;t2018=-10.97,P<0.001;t2020=-7.71,P<0.001).Furthermore,elderly individuals with chronic diseases had higher de-pression scores than healthy elderly individuals(t2016=-10.95,P<0.001;t2018=-6.75,P<0.001;t2020=-5.84,P<0.001),and those living alone had higher depression scores than those living with others(t2016=-6.10,P<0.001;t2018=-6.59,P<0.001;t2020=-6.73,P<0.001).Conclusions The depression is-sues among the elderly in China are worsening year by year,with female,rural,illiterate,chronically ill,and sol-itary elderly individuals exhibiting more pronounced depressive problems.To reduce the risk of depression among the elderly and improve their mental health,it is crucial to focus on vulnerable groups such as women and illiterate individuals in the elderly population and those with chronic diseases.

SeniorsDepressionCES-D 8Mental healthUrban-rural differencesPolicy insights

吴政宇、王德文

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厦门大学公共事务学院,福建厦门 361000

老年人 抑郁 CES-D8 心理健康 城乡差异 政策启示

国家自然科学基金

72074187

2024

中国农村卫生事业管理
中华预防医学会

中国农村卫生事业管理

影响因子:0.744
ISSN:1005-5916
年,卷(期):2024.44(3)
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