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隔代照料对中老年人抑郁症状的影响——基于2018年CHARLS数据的实证研究

Effects of intergenerational care on depressive symptoms in middle-aged and elderly people: an empirical study based on CHARLS 2018 survey data

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【作者】 翟亚尹文强李万鹏亓霏杨春晓李秋莎黄冬梅

【Author】 ZHAI Ya;YIN Wen-qiang;LI Wan-peng;QI Fei;YANG Chun-xiao;LI Qiu-sha;HUANG Dong-mei;School of Management, Weifang Medical University;

【通讯作者】 黄冬梅;

【机构】 潍坊医学院管理学院“健康山东”重大社会风险预测与治理协同创新中心健康相关重大社会风险预警协同创新中心潍坊医学院公共卫生学院

【摘要】 目的 了解我国中老年人隔代照料与抑郁症状现状,探究隔代照料对中老年人抑郁症状的影响,提出促进中老年人心理健康、降低抑郁症状发生率的对策建议。方法 使用2018年中国健康与养老追踪调查(CHARLS)数据,运用二元logistic回归分析隔代照料对中老年人抑郁症状的影响。结果 本研究共纳入45~80岁中老年人7 652名,提供隔代照料的中老年人占比51.08%。二元logistic回归分析结果显示,在控制各项混杂因素后,发现提供隔代照料能够降低中老年人抑郁症状发生的概率(OR=0.754,95%CI:0.616~0.900)。讨论我国中老年人隔代照料比例高,隔代照料与中老年人的抑郁症状有关,提供隔代照料有助于降低中老年人抑郁症状发生的概率。子女、政府、社会应尊重中老年人的主观意愿,体谅提供隔代照料的不易,充分利用中老年人力资源,满足其自我效能感,降低抑郁症状的发生。

【Abstract】 Objective To understand the current situation of intergenerational care and depression symptoms in middle-aged and elderly people in China, explore the effects of intergenerational care on depression symptoms, and propose countermeasures to promote mental health and reduce the incidence of depression symptoms in middle-aged and elderly people. Methods Binary logistic regression was used to analyze the effect of intergenerational care on depressive symptoms in middle-aged and elderly people using data from the 2018 China Health and Retirement Longitudinal Study(CHARLS).Results A total of 7 652 middle-aged and elderly people aged 45 to 80 years were included in this study, and the proportion of middle-aged and elderly people who provided intergenerational care was 51.08%. The results of binary logistic regression analysis showed that after controlling for various confounding factors, providing intergenerational care could reduce the probability of depression symptoms in middle-aged and elderly people(OR=0.754, 95%CI: 0.616-0.900). Conclusion There is a high proportion of intergenerational care in middle-aged and elderly people in China. Intergenerational care is associated with depressive symptoms in middle-aged and elderly people. Providing intergenerational care can help reduce the probability of depressive symptoms in middle-aged and elderly people. Children of the elderly, government, and society should respect the subjective wishes of the middle-aged and elderly, understand that it is not easy to provide intergenerational care, make full use of the human resources of the middle-aged and elderly, satisfy their need of self-efficacy, and reduce the occurrence of depressive symptoms.

【基金】 国家自然科学基金项目(71573191)
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2023年02期
  • 【分类号】R749.4
  • 【下载频次】269
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