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目的了解辽宁省沈阳市≥65岁社区老年人抑郁现状及其影响因素,为预防和干预老年人抑郁提供科学依据。方法采用随机整群抽样方法对在沈阳市皇姑、铁西、苏家屯区抽取的3个社区2 106名≥65岁社区老年人进行面访式问卷调查,对其中经认知能力筛查后无认知功能障碍的1 968名老年人进行抑郁现状及其影响因素分析。结果沈阳市≥65岁社区老年人抑郁症状检出率为27.08%;多因素非条件Logistic回归分析结果显示,非在婚和过去1年有跌倒史是沈阳市≥65岁社区老年人抑郁发生的危险因素,文化程度高中及以上、睡眠好、能独自出远门、每周散步3~4 d、常参加娱乐活动和子女孝顺是沈阳市≥65岁社区老年人抑郁发生的保护因素。结论沈阳市≥65岁社区老年人抑郁水平较高,应加强健康状况、社会心理、移动能力、个体行为等方面的干预以有效预防老年人抑郁的发生。
Objective To understand the status of depression and its influencing factors in elderly people aged 65 or older in Shenyang City, Liaoning Province, and to provide a scientific basis for prevention and intervention of depression in the elderly. Methods A randomized cluster sampling method was used to survey 2 106 elderly people aged 65 years or older in three communities sampled from Huanggu, Tiexi, and Sujiatun areas of Shenyang City. A questionnaire survey was conducted among them on the cognitive ability screening Analysis of the Status Quo of Depression in 1 968 Elderly with No Cognitive Impairment and Its Influential Factors. Results The prevalence of depressive symptoms was 27.08% in the elderly population aged 65 or older in Shenyang City. The multivariate non-conditional logistic regression analysis showed that the incidence of depression in the non-married and past one year was the depression in the elderly of ≥65 years in Shenyang Risk factors, high school education and above, good sleep, can travel alone, weekly walk 3 ~ 4 d, often participate in recreational activities and children filial piety in Shenyang City, aged 65 or older, the protective effect of depression in the elderly. Conclusion The depression in the elderly population aged 65 or older in Shenyang is higher than that in the elderly. The intervention of health status, social psychology, mobility and individual behavior should be strengthened to effectively prevent depression in the elderly.