首页|中国中老年良性前列腺增生/下尿路症状入群合并抑郁症的危险因素分析

中国中老年良性前列腺增生/下尿路症状入群合并抑郁症的危险因素分析

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目的:探讨中国中老年男性良性前列腺增生/下尿路症状(BPH/LUTS)患者合并抑郁症的危险因素.方法:基于2018年中国健康与养老追踪调查(CHARLS)数据,纳入≥45岁的中老年男性参与者8 426例,利用logistic回归分析探讨BPH/LUTS患者合并抑郁症的危险因素.结果:中老年BPH/LUTS患者共1 447例,患病率为17.2%.合并抑郁症的患者529例,患病率36.5%.Logistic回归分析结果显示:合并基础疾病(OR=1.29,95%CI 1.03~1.62)是BPH/LUTS患者并发抑郁症的危险因素.高中及以上受教育水平(OR=0.52,95%CI 0.36~0.75)、居住在城市(OR=0.75,95%CI 0.60~0.95)、东部地区(OR=0.61,95%CI 0.38~0.97)、睡眠 6~9 h(OR=0.52,95%CI 0.41~0.66)是BPH/LUTS患者并发抑郁症的保护因素.结论:合并基础疾病、受教育水平、居住区域、地区、睡眠时长对中国中老年男性BPH/LUTS患者合并抑郁症产生影响,值得临床关注.
Risk factors for depression in middle-aged and elderly males with benign prostatic hyperplasia/lower urinary tract symptoms
Objective:To investigate the risk factors for depression in middle-aged and elderly Chinese male patients with be-nign prostatic hyperplasia/lower urinary tract symptoms(BPH/LUTS).Methods:Based on the data from the 2018 China Health and Retirement Longitudinal Study(CHARLS),we included 8 426 male participants aged≥45 years in this study,and explored the risk factors for depression in patients with BPH/LUTS by logistic regression analysis.Results:Among the total number of partici-pants,there were 1 447 cases of BPH/LUTS,with a prevalence rate of 17.2%,and 36.5%of the patients(529/1 447)were compli-cated by depression.Logistic regression analysis showed that underlying diseases were the risk factors for depression in patients with BPH/LUTS(OR=1.29,95%CI:1.03-1.62),while the protective factors against the condition included high school education or above(OR=0.52,95%CI:0.36-0.75),urban residence(OR=0.75,95%CI:0.60-0.95),eastern region(OR=0.61,95%CI:0.38-0.97),and 6-9 h/d sleep(OR=0.52,95%CI:0.41-0.66).Conclusion:Underlying diseases,education level,residential area,geographical region,and sleep duration are influencing factors for depression in middle-aged and elderly male patients with BPH/LUTS in China and deserve the attention of clinicians.

benign prostatic hyperplasia/lower urinary tract symptomsChina Health and Retirement Longitudinal Studyde-pressionlogistic analysis

盛正成、沈天一、唐朝朋、周昱霖、许松、周文泉

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东部战区总医院泌尿外科,江苏南京 210002

良性前列腺增生/下尿路症状 中国健康与养老追踪调查 抑郁症 Logistic分析

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(12)