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CLC number: R181.3

On-line Access: 2019-10-09

Received: 2019-04-18

Revision Accepted: 2019-09-15

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Journal of Zhejiang University SCIENCE B 2019 Vol.20 No.11 P.910-919

http://doi.org/10.1631/jzus.B1900207


Association between social health status and depressive symptoms among community-dwelling elderly adults in Zhejiang Province, China


Author(s):  Hong-Lei Dai, Zhe-Bin Yu, Liu-Qing You, Min-Hua Fan, Hong-Wei Zhu, Dan-Jie Jiang, Meng-Yin Wu, Shu-Juan Lin, Xiao-Cong Zhang, Kun Chen

Affiliation(s):  Department of Family Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, China; more

Corresponding email(s):   ck@zju.edu.cn

Key Words:  Depressive symptom, Social health, Elderly adult


Hong-Lei Dai, Zhe-Bin Yu, Liu-Qing You, Min-Hua Fan, Hong-Wei Zhu, Dan-Jie Jiang, Meng-Yin Wu, Shu-Juan Lin, Xiao-Cong Zhang, Kun Chen. Association between social health status and depressive symptoms among community-dwelling elderly adults in Zhejiang Province, China[J]. Journal of Zhejiang University Science B, 2019, 20(11): 910-919.

@article{title="Association between social health status and depressive symptoms among community-dwelling elderly adults in Zhejiang Province, China",
author="Hong-Lei Dai, Zhe-Bin Yu, Liu-Qing You, Min-Hua Fan, Hong-Wei Zhu, Dan-Jie Jiang, Meng-Yin Wu, Shu-Juan Lin, Xiao-Cong Zhang, Kun Chen",
journal="Journal of Zhejiang University Science B",
volume="20",
number="11",
pages="910-919",
year="2019",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1900207"
}

%0 Journal Article
%T Association between social health status and depressive symptoms among community-dwelling elderly adults in Zhejiang Province, China
%A Hong-Lei Dai
%A Zhe-Bin Yu
%A Liu-Qing You
%A Min-Hua Fan
%A Hong-Wei Zhu
%A Dan-Jie Jiang
%A Meng-Yin Wu
%A Shu-Juan Lin
%A Xiao-Cong Zhang
%A Kun Chen
%J Journal of Zhejiang University SCIENCE B
%V 20
%N 11
%P 910-919
%@ 1673-1581
%D 2019
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1900207

TY - JOUR
T1 - Association between social health status and depressive symptoms among community-dwelling elderly adults in Zhejiang Province, China
A1 - Hong-Lei Dai
A1 - Zhe-Bin Yu
A1 - Liu-Qing You
A1 - Min-Hua Fan
A1 - Hong-Wei Zhu
A1 - Dan-Jie Jiang
A1 - Meng-Yin Wu
A1 - Shu-Juan Lin
A1 - Xiao-Cong Zhang
A1 - Kun Chen
J0 - Journal of Zhejiang University Science B
VL - 20
IS - 11
SP - 910
EP - 919
%@ 1673-1581
Y1 - 2019
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1900207


Abstract: 
Objective: Mental disorders of the elderly population in China deserve attention. social health is significantly associated with depression. This study aimed to evaluate the rate of depressive symptoms and to test the relationships between social health and depressive symptoms among a large sample of community-dwelling elderly adults. Methods: We conducted a cross-sectional study among community-dwelling adults aged 60 years or above in Zhejiang Province, China. Face-to-face interviews were used to complete a structured questionnaire for all participants. We used the social health Scale for the Elderly (SHSE) to evaluate social health status and used the short form of the Geriatric Depression Scale to evaluate depressive symptoms. Multivariate logistic regression was used to evaluate the association between social health status and depressive symptoms. Results: Of the total of 3757 participants included, 1887 (50.23%) were female, and the mean±standard deviation (SD) age was (70.0±8.3) years. The rate of depressive symptoms was 25.92%. The social health score was higher in non-depressed participants than in depressed participants (raw score 50.7 vs. 48.3, P<0.001). Participants with “moderate” or “good” social health had a significantly lower risk of depressive symptoms than those with “poor” social health (odds ratio (OR)=0.55, 95% confidence interval (CI): 0.46–0.66 for moderate social health; OR=0.45, 95% CI: 0.35–0.60 for good social health). The association between social health and depressive symptoms was consistent across several subgroups. Conclusions: social health is significantly inversely associated with depressive symptoms. The SHSE may serve as an efficient screener to identify those elderly adults with social health deficits, but systematic assessment to guide intervention merits further investigation.

中国浙江省社区老年人社会健康状况与抑郁症状的相关性研究

目的:探究在浙江省老年人群中社会健康状况与抑郁症状的相关性.
创新点:采用专为中国老年人群设计的社会健康量表(SHSE-S),在中国人群中首次揭示了社会健康与老年抑郁症状的相关性,为全面提高老年人的健康状况提供科学依据.
方法:采用多阶段分层抽样的方法,纳入3757位浙江省社区常住老年人.采用包含SHSE-S和老年抑郁量表(GDS)在内的结构式问卷对老年人进行面对面访谈,采用多因素Logistic回归模型以及亚组分析等方法分析社会健康与老年抑郁症状的关联性.
结论:在浙江省老年人群中,SHSE-S得分越高,老年人抑郁症状的患病风险越低.该量表可作为社区筛查老年抑郁症状高危人群的工具,对促进老年人群的健康有重要意义.

关键词:抑郁症状;社会健康;老年人

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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