目的：本研究旨在探讨影响我国农村和城镇地区中老年糖尿病患者出现抑郁症状的重要因素。方法：选取2018年中国健康与养老全国追踪调查（CHARLS）项目中713名中老年糖尿病患者作为研究对象,利用抑郁自评量表（CES-D）对研究人群的抑郁症状进行评估。通过随机森林算法筛选出影响抑郁症状的重要变量,并进行排序。在此基础上,采用多因素逻辑回归分析探究影响农村和城镇地区中老年糖尿病患者抑郁症状的相关因素。结果：随机森林算法结果显示：18个指标中重要性前10位的变量分别是收入、年龄、睡眠时长、生活满意度、健康满意度、午睡时长、躯体疼痛、婚姻满意度、子女满意度、空气满意度。多因素 Logistic 回归分析结果显示女性、睡眠时长过短、生活满意度差、健康满意度差、子女满意度差以及躯体疼痛等因素与中老年糖尿病患者出现抑郁症状有关。结论：41.65%的农村和城镇中老年糖尿病患者存在抑郁症状,未来国家和政府应多关注农村和城镇地区糖尿病患者的心理健康状态。
Abstract
Objective The aim of this study was to investigate the important factors influencing depressive symptoms among middle-aged and elderly diabetic patients in rural and urban areas of China. Method Seven hundred and thirteen middle-aged and elderly diabetic patients from the 2018 China Health and Aging National Tracking Survey (CHARLS) project were selected as the study population, and depressive symptoms in the study population were assessed using the Depression Self-Assessment Scale (CES-D). Significant variables influencing depressive symptoms were screened and ranked by the random forest algorithm. Based on this, multi-factor logistic regression analysis was used to explore the factors associated with depressive symptoms affecting middle-aged and elderly diabetic patients in rural and urban areas. Results The results of random forest algorithm showed that the top 10 important variables among the 18 indicators were income, age, sleep duration, life satisfaction, health satisfaction, nap duration, somatic pain, marital satisfaction, child satisfaction, and air satisfaction. The results of multifactorial logistic regression analysis showed that female, short sleep duration, poor life satisfaction, poor health satisfaction, poor child satisfaction, and somatic pain were associated with depressive symptoms in middle-aged and elderly diabetic patients. Conclusion 41.65% of rural and urban middle-aged and elderly diabetic patients had depressive symptoms, and the state and government should pay more attention to the mental health status of diabetic patients in rural and urban areas in the future.
关键词
中老年人 /
糖尿病 /
抑郁症状 /
影响因素
Key words
middle-aged and elderly people /
diabetes mellitus /
depressive symptoms /
influencing factors
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基金
中央高校基本科研业务费专项基金资助（NO.2018-JYBZZ-XS171）
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