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Received:June 03, 2024 Published Online:December 21, 2024
Received:June 03, 2024 Published Online:December 21, 2024
中文摘要: 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%, χ2=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%, χ2=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.
文章编号: 中图分类号:R749.4 文献标志码:A
基金项目:中国高等教育科学研究规划项目(23ZYJ0209);中华职业教育社规划项目(ZJS2024ZN040)
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