摘要
目的:探索感觉障碍与抑郁症状的纵向关联,为抑郁的预防提供依据。方法:采用中国健康与养老追踪调查(CHARLS)2011—2020年的数据。感觉障碍由听觉障碍和视觉障碍两个指标构成,听觉障碍和视觉障碍均为自报。根据听觉和视觉情况将研究对象分为4组:无听觉和视觉障碍(NSI)组、仅听觉障碍(HI)组、仅视觉障碍(VI)组、听觉和视觉双重障碍(DSL)组。抑郁症状根据简版流调用抑郁自评量表(CESD-10)进行评估。采用Cox比例风险模型检验感觉障碍与抑郁症状的纵向关联。结果:共纳入12952例研究对象,其中HI组745例(5.8%),VI组2756例(21.3%),DSL组671例(5.2%)。在随访期间(中位随访时间5.42年),共5498例研究对象检出抑郁症状。Cox比例风险模型结果显示,在未调整模型中,HI组、VI组和DSI组出现抑郁症状的风险均高于NSI组(P<0.05)。调整了社会人口学、行为生活方式及健康相关因素后,HI组出现抑郁症状的风险是NSI组的1.24倍(95%CI:1.09~1.41),VI组出现抑郁症状的风险是NSI组的1.20倍(95%CI:1.11~1.29),DSI组出现抑郁症状的风险是NSI组的1.37倍(95%CI:1.21~1.56)。结论:自我报告的VL、HL或DSL与抑郁症状之间存在纵向关联,应重点关注VL和HL患者的心理健康状况。
Objective:To explore the longitudinal correlation between sensory impairments and depressive symptoms to provide evidence for the prevention of depression.Methods:This study utilized data from the China health and retirement longitudinal study(CHARLS)spanning the years 2011 to 2020.Sensory impairments were defined by self-reported indicators of hearing and visual impairments.Participants were categorized into four groups based on their hearing and visual conditions:no sensory impairment(NSI)group,hearing impairment only(HI)group,vision impairment only(VI)group,and dual sensory impairments(DSL)group.Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale(CESD-10).The longitudinal association between sensory impairments and depressive symptoms was investigated using Cox proportional hazard models.Results:A total of 12,952 participants were included in the study,with 745(5.8%)in the HI group,2,756(21.3%)in the VI group,and 671(5.2%)in the DSL group.During a median follow-up period of 5.42 years,5,498 participants exhibited depressive symptoms.Cox proportional hazard model results showed that in the unadjusted model,the risk of depressive symptoms was higher in the HI,VI,and DSL groups compared with the NSI group(P<0.05).After adjusting for sociodemographic,lifestyle,and health-related factors,the risk of depressive symptoms in the HI group was 1.24 times higher than that in the NSI group(95%CI:1.09-1.41),the VI group was 1.20 times(95%CI:1.11-1.29),and the DSL group was 1.37 times(95%CI:1.21-1.56).Conclusion:There is a longitudinal association between self-reported visual,hearing,or dual sensory impairments and depressive symptoms.Attention should be focused on the mental health of individuals with hearing and vision impairments.
作者
饶珊
卞之琳
蒋丹
王桢
赵雨柔
邱培媛
况伟宏
RAO Shan;BIAN Zhilin;JIANG Dan;WANG Zhen;ZHAO Yurou;QIU Peiyuan;KUANG Weihong(West China Mental Health Center of Sichuan University,Chengdu 610041,China;Chengdu Jinxin Psychiatric Hospital,Chengdu 610041,China;West China School of Public Health,Sichuan University,Chengdu 610041,China;Chengdu Fourth People’s Hospital,Chengdu 610041,China)
出处
《广西医科大学学报》
CAS
2024年第3期337-343,共7页
Journal of Guangxi Medical University
基金
国家自然科学基金资助项目(No.72174133)
四川省自然科学基金资助项目(No.2022NSFSC0668)。
关键词
听觉障碍
视觉障碍
听觉和视觉双重障碍
抑郁症状
hearing impairment
vision impairment
dual sensory impairments
depressive symptoms
作者简介
通信作者:况伟宏,E-mail:kwhhlj@163.com。
