【摘要】 目的 了解四川省农村地区老年人抑郁现况及其影响因素。方法 采用多阶段抽样方法，于2022年7月—8月对606名四川农村老年人进行问卷调查，采用χ~2检验和多因素二分类logistic回归分析老年人抑郁的影响因素。结果 农村老年人的抑郁平均得分为(3.79±3.21)分，有抑郁症状85人，抑郁症状患病率为14.0%。多因素logistic回归分析结果表明，近一年因经济困难而未就医(OR=10.140,95%CI:3.347～30.716)、近一年住院情况(OR=5.229,95%CI:2.789～9.801)、自评健康一般及以下(自评健康较差：OR=20.301,95%CI:7.666～53.761;自评健康一般：OR=5.912,95%CI:2.729～12.807)、无子女(OR=8.495,95%CI:1.747～41.313)是农村老年人抑郁症状的危险因素(均P<0.05);和老伴一起生活(OR=0.321,95%CI:0.116～0.888)、高社会支持(OR=0.505,95%CI:0.260～0.982)是农村老年人抑郁症状的保护因素(均P<0.05)。结论 四川省农村地区老年人的抑郁状况令人担忧，需高度重视和尽早干预，尤其是对经济困难、健康状况差、无子女或独居的农村老年人，应重点关注。更多还原

【Abstract】 Objective To explore the prevalence and influencing factors of depression among the elderly in rural areas of Sichuan Province. Methods By using the method of multi-stage sampling, a questionnaire survey was conducted among 606 rural elderly persons in Sichuan from July to August, 2022. Chi-square test and multivariate logistic regression analysis were used to explore the influencing factors of depression. Results The average score of depression in the rural elderly was(3.79± 3.21) points, 85 people had depressive symptoms, and the prevalence rate of depressive symptoms was 14.0%. Multivariate logistic regression analysis showed that not seeking medical treatment due to economic difficulties in the past year(OR=10.140, 95%CI: 3.347-30.716), hospitalization in the past year(OR=5.229, 95%CI: 2.789-9.801), self-rated health fair or below( poor self-rated health: OR=20.301, 95%CI: 7.666-53.761; fair self-rated health: OR=5.912, 95%CI: 2.729-12.807) and childless(OR=8.495, 95%CI: 1.747-41.313) were risk factors for depressive symptoms in the rural elderly(P<0.05). Living with a spouse(OR=0.321, 95%CI: 0.116-0.888) and high social support(OR=0.505, 95%CI: 0.260-0.982) were protective factors for depressive symptoms in rural elderly(P<0.05). Conclusion The depression situation of the elderly in rural areas of Sichuan Province is worrying, which needs to be paid special attention and early intervention, especially for the rural elderly with economic difficulties, poor health status, no children or living alone.更多还原