|
|
Analysis of the mental health status and its influencing factors of the elderly in Beijing |
SONG Wenjuan ZHAGN Xiaofeng ZHANG Yanjun |
The Second Medical Center, Chinese People’s Liberation Army General Hospital, Beijing 100853, China |
|
|
Abstract Objective To discuss the mental health status of the elderly in Wanshoulu Street, Beijing, and to analyze the factors that affect their mental health. Methods A cluster sampling method was used to select 435 elderly people (≥80 years old) in Wanshoulu Community, Beijing from February 2019 to February 2020 as the survey subjects, and the symptom check list 90 (SCL-90) was used to assess the psychological status of the elderly, while the influencing factors of the mental health of the elderly were analyzed. Results Among the 435 cases of elderly people, 85 cases (with mental health problems) were detected by SCL-90, accounting for 19.54%. Among the 10 factors, the highest positive detection rate was somatization (40.92%), and the positive detection rates of others (reflecting sleep and diet), obsessive-compulsive symptoms and depression were 25.52%, 23.91% and 23.45%, respectively. Single factor analysis showed that the differences in gender, body mass index (BMI), education level, family per capita annual income, self-evaluation of family economic status, living situation, family relations, and combined with chronic underlying disease between different mental health status of the elderly with chronic underlying diseases were statistically significant (P < 0.05). The multivariate binary logistic stepwise regression model showed that BMI>24.0 kg/m2 (OR = 0.619), low education level (OR = 10.262), average family economy (OR = 0.401), average family relationship (OR = 0.418) and combined the types of chronic underlying diseases>2 (OR = 0.899) were risk factors affecting the mental health of the elderly (P < 0.05). Conclusion The mental health of the elderly is mainly affected by BMI, education level, family economic status, family relationship and combined chronic underlying diseases.
|
|
|
|
|
[1] 古桔银,周璇,李洁媚,等.广州市空巢老年人心理健康状况及其影响因素[J].广东医学,2015,36(21):3384-3386.
[2] 王殿玺,姚林.中国老年人的心理健康对死亡风险的影响研究[J].西北人口,2018,39(2):81-87.
[3] 邓琳,巢健茜,杨靓,等.南京市老年人心理健康状况及其影响因素[J].中国老年学杂志,2017,37(8):2020-2022.
[4] Agrawal S,Capponi P,López J,et al. From Surviving to Advising:A Novel Course Pairing Mental Health and Addictions Service Users as Advisors to Senior Psychiatry Residents [J]. Acad Psychiatry,2016,40(3):475-480.
[5] Tan H,Lan XM,Yu NL,et al. Reliability and validity assessment of the revised Symptom Checklist 90 for alopecia areata patients in China [J]. J Dermato,2015,42(10):975-980.
[6] 薛新东,葛凯啸.社会经济地位对我国老年人健康状况的影响——基于中国老年健康影响因素调查的实证分析[J].人口与发展,2017,23(2):61-69.
[7] Kwak Y,Kim Y. Association between mental health and meal patterns among elderly Koreans:Mental health and meal patterns [J]. Geriatr Gerontol Int,2018,18(1):161-168.
[8] 张小伟,范依宁,韩超,等.山东省城市社区老年人心理健康状况调查研究[J].中国卫生统计,2018,35(2):216-218.
[9] 李利利,罗红,王艳丽,等.西安市2787名老年人心理健康状况调查与分析[J].中国社会医学杂志,2017,34(5):474-477.
[10] 齐玉玲,高航,张秀敏,等.城市社区老年人心理健康状况及其影响因素[J].护理研究,2017,31(1):26-29.
[11] 刘宏军,王淳秀,关绍晨,等.北京地区老年人抑郁症状筛查检出率及影响因素的横断面调查[J].中华保健医学杂志,2019,21(3):207-211.
[12] 赵禹,李树亚,李峥.社区老年轻度认知障碍患者合并抑郁的现状调查及影响因素分析[J].中华现代护理杂志,2019,25(10):1274-1279.
[13] 温秀芹,韩琤琤,赵洁,等.北京市某社区老年人心理压力现状及影响因素分析[J].中国护理管理,2017,17(6):784-789.
[14] 胡雅娴,罗森林,庞婧,等.国内7省市老年人抑郁症的检出率及影响因素分析[J].现代生物医学进展,2018, 18(7):82-87,123.
[15] 刘宏军,王淳秀,关绍晨,等.北京地区老年人抑郁症状筛查检出率及影响因素的横断面调查[J].中华保健医学杂志,2019,21(3):207-211.
[16] 谭姣,马永红,何宏灵,等.2016年西安市城市社区居民基于SCL-90心理量表心理健康状况调查[J].实用预防医学,2018,25(11):1313-1316.
[17] 孙鹃娟,蒋炜康.负性生活事件与中国老年人的心理健康状况[J].人口研究,2020,44(2):73-86.
[18] Kwak Y,Kim Y. Health-related Quality of Life and Mental Health of Elderly by Occupational Status [J]. Iran J Public Health,2017,46(8):1028-1037.
[19] Kwak Y,Chung H,Kim Y. Differences in Health-related Quality of Life and Mental Health by Living Arrangement among Korean Elderly in the KNHANES 2010-2012 [J]. Iran J Public Health,2017,46(11):1512-1520.
[20] 贾君杰,郭继志,李敏,等.山东省机构养老老年人心理健康状况及影响因素研究[J].中国医学伦理学,2016, 29(5):817-820,845.
[21] 张海龙,赵宝成,刘育鹏,等.老年高血压合并冠心病患者的血压达标情况及影响因素分析[J].中国临床保健杂志,2019,22(1):51-55.
[22] 谢向荣,汪和贵,汪茗,等.皖南地区中青年与老年冠心病患者危险因素的研究[J].皖南医学院学报,2018,37(1):15-18.
[23] 刘建飞,黄鹤.不同发病年龄冠心病病人临床特点及相关危险因素分析[J].中西医结合心脑血管病杂志,2019, 17(4):636-638.
[24] 董玲,周洋,陈文材,等.武汉市居民精神卫生知识知晓率调查[J].中国公共卫生,2019,35(3):345-348.
[25] 傅洪梅,王秀红,汪俊华,等.贵阳市居家失能老年人照护者抑郁状况及影响因素[J].贵阳医学院学报,2019, 44(6):688-692.
[26] 张皓妍,陈长香,张敏,等.家庭亲子支持对中高龄老年人孤独感影响[J].中国公共卫生,2018,34(2):167-171. |
|
|
|