泰国全国老年人纵向研究中感官缺失与抑郁症状之间的关系

S. Pengpid, K. Peltzer
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摘要

简介感官缺失和抑郁症状(DS)可能是老年人日益关注的问题。此前在中国进行的一些研究发现,感官缺失与抑郁症状之间存在双向关系,但在东南亚,我们缺乏有关这种关系的信息。本研究的目的是在泰国的一项纵向研究中评估感觉缺失与抑郁症状之间的双向关系。 研究方法对泰国健康、老龄化和退休(HART)研究连续两波(2015 年和 2017 年)的参与者(≥ 45 岁)的回答进行分析。通过自我报告问题和流行病学研究中心抑郁量表对感官损失进行评估。 研究结果分析基线样本包括 3708 名参加 2015 年和 2017 年调查的参与者(中位数 = 66 岁)。视力、听力和双重感官损失的患病率分别为 25.4%、13.3% 和 7.9%,DS 的患病率为 12.3%。在对相关混杂因素进行调整后的最终模型中,基线视力、听力和感觉缺失与 DS 事件呈正相关(AOR:1.34,95% CI:1.01 至 1.74;AOR:1.71,95% CI:1.23 至 2.38;AOR:1.80,95% CI:1.20 至 2.69)。基线 DS 与视力、听力或双重感官损失的发生无明显关系。 结论基线视力、听力和双重感官缺失会增加发生 DS 的几率,但基线 DS 并不会显著增加泰国老年人发生视力、听力或双重感官缺失的几率。
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Associations between Sensory Loss and Depressive Symptoms in a Longitudinal National Study of Ageing Adults in Thailand
Introduction: Sensory loss and depressive symptoms (DS) may be an increasing concern in ageing adults. Some previous studies in China found bidirectional associations between sensory loss and DS, but we lack information on this relationship in Southeast Asia. The purpose of this study was to assess the bidirectional association between sensory loss and DS in a longitudinal study in Thailand.   Methods: The responses of participants (≥ 45 years) of two consecutive waves (2015 and 2017) of the Health, Aging and Retirement in Thailand (HART) study were analysed. Sensory loss was assessed with self-reported questions and DS with the Center for Epidemiological Studies Depression scale.   Results: The analytic baseline sample included 3708 participants (median = 66 years) who responded to the 2015 and 2017 survey. The prevalence of vision, hearing and dual sensory loss were 25.4%, 13.3% and 7.9%, respectively, and the prevalence of DS was 12.3%. In the final model, adjusted for relevant confounders, vision, hearing, and sensory loss at baseline were positively associated with incident DS (AOR: 1.34, 95% CI: 1.01 to 1.74; AOR: 1.71, 95% CI: 1.23 to 2.38; and AOR: 1.80, 95% CI: 1.20 to 2.69, respectively). DS at baseline was not significantly associated with incident vision, hearing or dual sensory loss.   Conclusion: Baseline vision, hearing, and dual sensory loss increase the odds of incident DS, but baseline DS did not significantly increase the odds of incident vision, hearing, or dual sensory loss among ageing adults in Thailand.
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