抑郁状态下老年人社会活动参与和自我忽视的相关性研究

刘梦卿; 陈月; 袁梦园; 马少缔; 秦其荣; 屈光波; 孙业桓; 李杰

doi:10.16462/j.cnki.zhjbkz.2024.05.018

抑郁状态下老年人社会活动参与和自我忽视的相关性研究

doi: 10.16462/j.cnki.zhjbkz.2024.05.018

刘梦卿¹,
陈月²,
袁梦园³,
马少缔⁴,
秦其荣⁵,
屈光波⁴,
孙业桓⁴,
李杰^6, ,

1.
安徽医科大学巢湖临床医学院临床医学系，合肥 230032
2.
安徽医科大学第一临床医学院临床医学系，合肥 230032
3.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系，合肥 230032
4.
安徽医科大学公共卫生学院流行病与卫生统计学系，合肥 230032
5.
马鞍山疾病预防控制中心社区服务与慢性病防治科，马鞍山 243011
6.
安徽医科大学公共卫生学院预防医学教学中心，合肥 230032

基金项目:

国家级大学生创新创业训练计划 2022103666031

安徽省教育厅自然科学研究项目 KJ2021A0231

详细信息

通讯作者:
李杰，E-mail: lejane1118@126.com

中图分类号: R161.7
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- 文章访问数: 31
- HTML全文浏览量: 7
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2023-05-19
- 修回日期: 2023-10-21
- 网络出版日期: 2024-06-05
- 刊出日期: 2024-05-10

Correlation between social activity participation and self-neglect in the elderly with depression

1.
Department of Clinical Medicine, School of the Chaohu Clinical Medicine, Anhui Medical University, Hefei 230032, China
2.
Department of Clinical Medicine, First Clinical Medical College, Anhui Medical University, Hefei 230032, China
3.
Department of Child Health and Maternal and Child Health, School of Public Health, Anhui Medical University, Hefei 230032, China
4.
Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei, 230032, China
5.
Department of Community Service and Chronic Disease Prevention and Control, Ma′anshan Center for Disease Control and Prevention, Ma′anshan 243011, China
6.
Preventive Medicine Teaching Center, School of Public Health, Anhui Medical University, Hefei 230032, China

Funds:

National College Students′ Innovation and Entrepreneurship Training Program 2022103666031

Natural Science Research Project of Anhui Education Department KJ2021A0231

More Information

Corresponding author: LI Jie, E-mail: lejane1118@126.com

摘要

摘要: 目的探讨抑郁状态下老年人社会活动参与和自我忽视的相关性。方法采用分层整群抽样方法，使用马鞍山健康老龄化队列研究数据，以基线处于抑郁状态的648名老年人为研究对象，通过多因素logistic回归分析模型分析社会活动参与和自我忽视的相关性。结果抑郁状态下老年人自我忽视总体得分为(7.42±5.10)分。调整混杂因素后，参与体育锻炼是老年总体自我忽视(OR=0.521, 95% CI: 0.359~0.758, P＜0.01)及卫生自我忽视(OR=0.523, 95% CI: 0.332~0.822, P＜0.01)、情感自我忽视(OR=0.537, 95% CI: 0.364~0.793, P＜0.01)、社会交往自我忽视(OR=0.486, 95% CI: 0.334~0.709, P＜0.001)的保护因素；参与友谊与关爱互动是老年总体自我忽视(OR=0.622, 95% CI: 0.423~0.916, P＜0.05)及卫生自我忽视(OR=0.438, 95% CI: 0.268~0.717, P＜0.01)、安全自我忽视(OR=0.236, 95% CI: 0.138~0.403, P＜0.001)、社会交往自我忽视(OR=0.510, 95% CI: 0.345~0.755, P＜0.01)的保护因素。结论社会活动参与对马鞍山市抑郁状态下老年人自我忽视有一定保护，但是不同的社会活动参与内容影响不同。
- 自我忽视 /
- 抑郁 /
- 社会活动参与 /
- 老年人
Abstract: Objective To explore the association between social activity participation and self-neglect in the elderly with depression. Methods Using stratified cluster sampling method and data from the Healthy Aging Cohort Study in Ma′anshan, 648 elderly people with depression at baseline were selected as subjects. Multivariate logistic regression was used to analyze the correlation between social activity participation and self-neglect. Results The overall score of self-neglect in depressed elderly was (7.42±5.10). After adjusting for confounding factors, participation in physical activity was a protective factor for overall self-neglect (OR=0.521, 95% CI: 0.359~0.758, P < 0.01) and in 3 dimensions of personal hygiene self-neglect (OR=0.523, 95% CI: 0.332~0.822, P < 0.01), emotional self-neglect (OR=0.537, 95% CI: 0.364~0.793, P < 0.01), and social communication self-neglect (OR=0.486, 95% CI: 0.334~0.709, P < 0.001) in older adults. Participation in friendship and care interaction was a protective factor for the overall self-neglect of the elderly (OR=0.622, 95% CI: 0.423~0.916, P < 0.05), which was also related to personal hygiene self-neglect (OR=0.438, 95% CI: 0.268~0.717, P < 0.01), safety self-neglect (OR=0.236, 95% CI: 0.138~0.403, P < 0.001) and social communication self-neglect (OR=0.510, 95% CI: 0.345~0.755, P < 0.01). Conclusions Social activity participation has certain protective effects against self-neglect of the depressed elderly in Ma′anshan City. However, different social activity participation contents may have different influences.
- Self-neglect /
- Depression /
- Social activity participation /
- The elderly

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表 1 抑郁状态下老年人一般特征及总体自我忽视单因素分析

Table 1. Univariate analysis of general characteristics and overall self-neglect in the elderly with depression

变量Variable	总计Total	自我忽视Self-neglect		χ²/t值value	P值value
变量Variable	总计Total	低 ^① Low ^①	高 ^① High ^①	χ²/t值value	P值value
居住地Residence				8.051	0.005
农村Rural	369	153(41.5)	216(58.5)
城市City	279	147(52.7)	132(47.3)
性别Gender				0.839	0.360
男Male	247	120(48.6)	127(51.4)
女Famle	401	180(44.9)	221(55.1)
年龄组/岁Age group/years				2.521	0.283
＞60~70	229	114(49.8)	115(50.2)
＞70~80	304	139(45.7)	165(54.3)
＞80	115	47(40.9)	68(59.1)
宗教信仰Religious belief				0.048	0.827
无No	427	199(46.6)	228(53.4)
有Yes	221	101(45.7)	120(54.3)
文化程度Education level				5.786	0.055
文盲Illiteracy/半文盲Semi-illiterate	381	163(42.8)	218(57.2)
小学Primary education	147	71(48.3)	76(51.7)
初中及以上Junior high school or above	120	66(55.0)	54(45.0)
婚姻状况Marital status				4.022	0.045
非在婚Out of marriage	216	88(40.7)	128(59.3)
在婚In marriage	432	212(49.1)	220(50.9)
独居Living alone				1.441	0.230
否No	478	228(47.7)	250(52.3)
是Yes	170	72(42.4)	98(57.6)
自评健康状况Self-rated health status				2.267	0.322
较好Better	88	44(50.0)	44(50.0)
一般General	261	127(48.7)	134(51.3)
较差Poor	299	129(43.1)	170(56.9)
疼痛Pain				0.764	0.382
无No	239	116(48.5)	123(51.5)
有Yes	409	184(45.0)	225(55.0)
慢性病Chronic disease				0.007	0.932
否No	77	36(46.8)	41(53.2)
是Yes	571	264(46.2)	307(53.8)
自报经济状况Self-reported economic				26.840	＜0.001
较好Better	23	17(73.9)	6(26.1)
一般General	216	124(57.4)	92(42.6)
较差Poor	409	159(38.9)	250(61.1)
吸烟Smoking				1.152	0.283
否No	583	274(47.0)	309(53.0)
是Yes	65	26(40.0)	39(60.0)
饮酒Drinking				0.252	0.616
否No	599	279(46.6)	320(53.4)
是Yes	49	21(42.9)	28(57.1)
日常生活能力Ability of daily living				23.130	＜0.001
正常Normal	279	151(54.1)	128(45.9)
下降Decrease	133	69(51.9)	64(48.1)
障碍Obstacles	236	80(33.9)	156(66.1)
认知功能Cognitive function				1.032	0.310
受损Damage	456	217(47.6)	239(52.4)
正常Normal	192	83(43.2)	109(56.8)
参与体育锻炼情况Participation in physical exercise				27.765	＜0.001
否No	421	163(38.7)	258(61.3)
是Yes	227	137(60.4)	90(39.6)
继续参与工作Continue to participate in the work				0.186	0.667
否No	616	284(46.1)	332(53.9)
是Yes	32	16(50.0)	16(50.0)
参与照顾子孙Participate in caring for children or grandchildren				0.144	0.704
否No	558	260(46.6)	298(53.4)
是Yes	90	40(44.4)	50(55.6)
参与友谊与关爱互动Participate in friendship and caring interaction				18.770	＜0.001
否No	454	185(40.7)	269(59.3)
是Yes	194	115(59.3)	79(40.7)
定期参与集体组织活动Participate in collective organization activities regularly				9.298	0.002
否No	560	246(43.9)	314(56.1)
是Yes	88	54(61.4)	34(38.6)
定期参与文化娱乐活动Participate in cultural and recreational activities regularly				17.607	＜0.001
否No	569	246(43.2)	323(56.8)
是Yes	79	54(68.4)	25(31.6)
抑郁得分Depression score	10.05±1.83	9.77±1.55	10.30±2.01	-3.802	＜0.001
注：①以人数(占比/%)或x±s表示。 Note: ① Number of people(proportion/%) or x±s.

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表 2 老年人自我忽视多因素logistic回归分析

Table 2. Multivariate logistic regression analysis of self-neglect in the elderly

变量Variable	总体自我忽视 ^① Overall self-neglect ^① OR值value (95% CI)	医疗自我忽视 ^② Medical health and care self-neglect ^② OR值value (95% CI)	卫生自我忽视 ^③ Environmental sanitation and personal hygiene self-neglect ^③ OR值value (95% CI)	情感自我忽视 ^④ Affective self-neglect ^④ OR值value (95% CI)	安全自我忽视 ^⑤ Safety self-neglect ^⑤ OR值value (95% CI)	社会交往自我忽视 ^⑥ Social communication self-neglect ^⑥ OR值value (95% CI)
参与体育锻炼情况(是/否) Participation in physical exercise (Yes /No)	0.521 (0.359~0.758) ^⑧	0.723 (0.461~1.134)	0.523 (0.332~0.822) ^⑧	0.537 (0.364~0.793) ^⑧	0.801 (0.616~1.242)	0.486 (0.334~0.709) ^⑨
继续参与工作(是/否) Continue to participate in the work (Yes/No)	0.976 (0.451~2.113)	0.884 (0.347~2.25)	0.254 (0.057~1.133)	1.208 (0.544~2.681)	0.467 (0.163~1.34)	0.428 (0.194~0.946) ^⑦
参与照顾子孙(是/否) Participate in caring for children or grandchildren (Yes/No)	1.633 (0.968~2.757)	1.372 (0.78~2.412)	1.080 (0.599~1.948)	0.866 (0.507~1.481)	0.704 (0.373~1.327)	0.738 (0.436~1.249)
参与友谊与关爱互动(是/否) Participate in friendship and caring interaction (Yes/No)	0.622 (0.423~0.916) ^⑦	1.266 (0.807~1.984)	0.438 (0.268~0.717) ^⑧	1.029 (0.687~1.541)	0.236 (0.138~0.403) ^⑨	0.510 (0.345~0.755) ^⑧
定期参与集体组织活动(是/否) Participate in collective organization activities regularly (Yes / No)	0.898 (0.511~1.577)	0.670 (0.342~1.312)	0.849 (0.425~1.694)	0.833 (0.466~1.488)	0.923 (0.475~1.795)	0.856 (0.482~1.522)
定期参与文化娱乐活动(是/否) Participate in cultural and recreational activities regularly (Yes /No)	0.622 (0.340~1.137)	0.655 (0.315~1.365)	0.920 (0.449~1.885)	0.831 (0.444~1.555)	1.120 (0.578~2.170)	0.506 (0.274~0.938) ^⑦
注：①代表调整性别、年龄、文化程度、婚姻状况、居住地、慢性病、自报经济状况、日常生活能力、抑郁得分; ②代表调整性别、年龄、居住地、慢性病、吸烟、饮酒、疼痛、自评健康状况、自报经济状况、日常生活能力、认知功能、抑郁得分; ③代表调整性别、年龄、宗教信仰、文化程度、居住地、慢性病、疼痛、自评健康状况、日常生活能力、认知功能、抑郁得分; ④代表调整性别、年龄、宗教信仰、文化程度、婚姻状况、居住地、独居、疼痛、自报经济状况、日常生活能力、认知功能，抑郁得分; ⑤代表调整性别、年龄、宗教信仰、文化程度、婚姻状况、居住地、慢性病、自报经济状况、日常生活能力、认知功能、抑郁得分; ⑥代表调整性别、年龄、宗教信仰、文化程度、婚姻状况、居住地、独居、慢性病、自报经济状况、日常生活能力、认知功能、抑郁得分; ⑦代表P＜0.05; ⑧代表P＜0.01; ⑨代表P＜0.001. Note: ① means adjust gender, age, educational level, marital status, residence, chronic disease, self-reported economic status, daily living ability and depression scores; ② means adjust gender, age, residence，chronic disease，smoking，drinking alcohol，pain，self-rated health status, self-reported economic, daily living ability cognitive function and depression scores; ③ means adjust gender, age, religious belief, educational level, residence, chronic disease, pain, self-rated health status, daily living ability, cognitive function and depression scores; ④ means adjust gender, age, religious belief, educational level, marital status, residence, living alone, pain, self-reported economic status, daily living ability, cognitive function and depression scores; ⑤ means adjust gender, age, religious belief, educational level, marital status, residence, chronic disease, self-reported economic status, daily living ability, cognitive function and depression scores; ⑥ means adjust gender, age, religious belief, educational level, marital status, residence, living alone, chronic disease, self-reported economic status, daily living ability, cognitive function and depression scores; ⑦means P＜0.05; ⑧means P＜0.01; ⑨means P＜0.001.

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变量Variable	总计Total	自我忽视Self-neglect		χ²/t值value	P值value
变量Variable	总计Total	低 ^① Low ^①	高 ^① High ^①	χ²/t值value	P值value
居住地Residence				8.051	0.005
农村Rural	369	153(41.5)	216(58.5)
城市City	279	147(52.7)	132(47.3)
性别Gender				0.839	0.360
男Male	247	120(48.6)	127(51.4)
女Famle	401	180(44.9)	221(55.1)
年龄组/岁Age group/years				2.521	0.283
＞60~70	229	114(49.8)	115(50.2)
＞70~80	304	139(45.7)	165(54.3)
＞80	115	47(40.9)	68(59.1)
宗教信仰Religious belief				0.048	0.827
无No	427	199(46.6)	228(53.4)
有Yes	221	101(45.7)	120(54.3)
文化程度Education level				5.786	0.055
文盲Illiteracy/半文盲Semi-illiterate	381	163(42.8)	218(57.2)
小学Primary education	147	71(48.3)	76(51.7)
初中及以上Junior high school or above	120	66(55.0)	54(45.0)
婚姻状况Marital status				4.022	0.045
非在婚Out of marriage	216	88(40.7)	128(59.3)
在婚In marriage	432	212(49.1)	220(50.9)
独居Living alone				1.441	0.230
否No	478	228(47.7)	250(52.3)
是Yes	170	72(42.4)	98(57.6)
自评健康状况Self-rated health status				2.267	0.322
较好Better	88	44(50.0)	44(50.0)
一般General	261	127(48.7)	134(51.3)
较差Poor	299	129(43.1)	170(56.9)
疼痛Pain				0.764	0.382
无No	239	116(48.5)	123(51.5)
有Yes	409	184(45.0)	225(55.0)
慢性病Chronic disease				0.007	0.932
否No	77	36(46.8)	41(53.2)
是Yes	571	264(46.2)	307(53.8)
自报经济状况Self-reported economic				26.840	＜0.001
较好Better	23	17(73.9)	6(26.1)
一般General	216	124(57.4)	92(42.6)
较差Poor	409	159(38.9)	250(61.1)
吸烟Smoking				1.152	0.283
否No	583	274(47.0)	309(53.0)
是Yes	65	26(40.0)	39(60.0)
饮酒Drinking				0.252	0.616
否No	599	279(46.6)	320(53.4)
是Yes	49	21(42.9)	28(57.1)
日常生活能力Ability of daily living				23.130	＜0.001
正常Normal	279	151(54.1)	128(45.9)
下降Decrease	133	69(51.9)	64(48.1)
障碍Obstacles	236	80(33.9)	156(66.1)
认知功能Cognitive function				1.032	0.310
受损Damage	456	217(47.6)	239(52.4)
正常Normal	192	83(43.2)	109(56.8)
参与体育锻炼情况Participation in physical exercise				27.765	＜0.001
否No	421	163(38.7)	258(61.3)
是Yes	227	137(60.4)	90(39.6)
继续参与工作Continue to participate in the work				0.186	0.667
否No	616	284(46.1)	332(53.9)
是Yes	32	16(50.0)	16(50.0)
参与照顾子孙Participate in caring for children or grandchildren				0.144	0.704
否No	558	260(46.6)	298(53.4)
是Yes	90	40(44.4)	50(55.6)
参与友谊与关爱互动Participate in friendship and caring interaction				18.770	＜0.001
否No	454	185(40.7)	269(59.3)
是Yes	194	115(59.3)	79(40.7)
定期参与集体组织活动Participate in collective organization activities regularly				9.298	0.002
否No	560	246(43.9)	314(56.1)
是Yes	88	54(61.4)	34(38.6)
定期参与文化娱乐活动Participate in cultural and recreational activities regularly				17.607	＜0.001
否No	569	246(43.2)	323(56.8)
是Yes	79	54(68.4)	25(31.6)
抑郁得分Depression score	10.05±1.83	9.77±1.55	10.30±2.01	-3.802	＜0.001
注：①以人数(占比/%)或x±s表示。 Note: ① Number of people(proportion/%) or x±s.

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抑郁状态下老年人社会活动参与和自我忽视的相关性研究

doi: 10.16462/j.cnki.zhjbkz.2024.05.018

通讯作者:
李杰，E-mail: lejane1118@126.com

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Correlation between social activity participation and self-neglect in the elderly with depression

Corresponding author: LI Jie, E-mail: lejane1118@126.com

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留言板

抑郁状态下老年人社会活动参与和自我忽视的相关性研究

doi: 10.16462/j.cnki.zhjbkz.2024.05.018

通讯作者: 李杰，E-mail: lejane1118@126.com

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出版历程

Correlation between social activity participation and self-neglect in the elderly with depression

Corresponding author: LI Jie, E-mail: lejane1118@126.com

计量

出版历程

目录

通讯作者:
李杰，E-mail: lejane1118@126.com