中国农村老年女性腰痛与抑郁症状的相关性

王晓辉; 赵帅翔; 曹瑾; 赵思雅

doi:10.16462/j.cnki.zhjbkz.2020.10.020

中国农村老年女性腰痛与抑郁症状的相关性

doi: 10.16462/j.cnki.zhjbkz.2020.10.020

730000 兰州, 兰州大学公共卫生学院, 社会医学与卫生事业管理研究所

基金项目:

美国中华医学基金会（CMB）项目 19-310

详细信息

通讯作者:
王晓辉，E-mail:wangxiaohui@lzu.edu.cn

中图分类号: R181
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出版历程
- 收稿日期: 2019-12-06
- 修回日期: 2020-03-02
- 刊出日期: 2020-10-10

Correlation between depression and low back pain of elderly women in rural areas of China

Department of Social Medicine and Health Management, School of Public Health, Lanzhou University, Lanzhou 730000, China

Funds:

China Medical Board 19-310

More Information

Corresponding author: WANG Xiao-hui. E-mail:wangxiaohui@lzu.edu.cn

摘要

摘要: 目的探讨中国农村老年女性腰痛与抑郁症状的相关性。方法使用2015年中国健康与养老追踪调查（China Health and Retirement Longitudinal Study，CHARLS）数据，纳入60岁及以上农村女性作为研究对象，计算简版流调中心抑郁量表（10-item center for epidemiological studies depression Scale，CESD-10）得分，将研究对象分为抑郁组和非抑郁组。采用倾向评分匹配（propensity score matching，PSM）平衡与抑郁症状有关的协变量，利用单因素非条件Logistic回归分析腰痛与抑郁症状的相关性。结果共纳入1 668名研究对象，平均年龄（67.51±5.90）岁，腰痛患病率为30.22%（95% CI：28.02% ~ 32.48%），抑郁症状患病率为46.04%（95% CI：43.63% ~ 48.47%），抑郁症状平均得分为（10.13±7.00）。PSM 1:1匹配协变量后，单因素非条件Logistic回归分析显示农村老年女性腰痛与抑郁症状有关（OR=2.901，95% CI：2.002 ~ 4.203，P < 0.001）。结论中国农村老年女性腰痛与抑郁症状风险增加有关。
- 农村老年女性 /
- 抑郁 /
- 腰痛 /
- 倾向评分匹配
Abstract: Objective To explore the correlation between depression and low back pain of elderly females in rural areas of China. Methods Data comes from China Health and Retirement Longitudinal Study (CHARLS) in 2015. All women aged 60 years old and over in rural areas were included in the study. The subjects were divided into depression group and non-depression group by the scores of the 10-item center for experimental studies depression scale (CESD-10). The covariates related to depressive symptoms were balanced by the propensity score matching (PSM), and the correlation between low back pain and depression was analyzed by univariate unconditional Logistic regression. Results A total of 1 668 subjects were enrolled, with an average age of (67.51 ±5.90) years. The prevalence of low back pain and depressive symptoms were 30.22% (95% CI:28.02%-32.48%) and 46.04% (95% CI:43.63%-48.47%), and the average score of depressive symptoms were (10.13 ±7.00) points. After using PSM 1:1 to match the covariates, the results of univariate unconditional Logistic regression analysis showed that there was a correlation between depression and low back pain of elderly women in rural areas of China (OR=2.901, 95% CI:2.002-4.203, P < 0.001). Conclusions There is an association between low back pain and the risk of depression in elderly females of rural areas in China.
- Rural elderly women /
- Depression /
- Low back pain /
- Propensity score matching

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表 1 两组研究对象人口学特征分布情况[n(%)]

Table 1. Demographic characteristics distribution of the two groups[n(%)]

变量名	抑郁组(n=768)	非抑郁组(n=900)	χ²值	P值
年龄(岁)			6.550	0.162
60 ~	303 (43.29)	397 (56.71)
65 ~	238 (49.07)	247 (50.93)
70 ~	146 (49.49)	149 (50.51)
75 ~	52 (45.22)	63 (54.78)
≥80	29 (39.73)	44 (60.27)
职业			1.121	0.290
农业劳动	460 (47.13)	516 (52.87)
非农业劳动	308 (44.51)	384 (55.49)
吸烟情况			1.943	0.163
吸烟	66 (51.97)	61 (48.03)
不吸烟	702 (45.55)	839 (54.45)
医疗保险			1.342	0.247
有医保	697 (45.62)	831 (54.38)
无医保	71 (50.71)	69 (49.29)
BMI (kg/m²)			9.957	0.007
0 ~	465 (49.42)	476 (50.58)
24 ~	225 (41.98)	311 (58.02)
≥28	78 (40.84)	113 (59.16)
睡眠(h/d)			95.014	＜0.001
0 ~	407 (60.21)	269 (39.79)
6 ~	305 (37.75)	503 (62.25)
≥9	56 (30.43)	128 (69.57)
是否腰痛			358 (71.03)	146 (28.97)
腰痛	358 (71.03)	146 (28.97)
非腰痛	410 (35.22)	754 (64.78)
远处视物			97.973	＜0.001
极好	6 (26.09)	17 (73.91)
很好	42 (30.43)	96 (69.57)
好	60 (35.29)	110 (64.71)
一般	340 (40.72)	495 (59.28)
不好	320 (63.75)	182 (36.25)
近处视物			46.692	＜0.001
极好	9 (32.14)	19 (67.86)
很好	63 (35.59)	114 (64.41)
好	97 (37.31)	163 (62.69)
一般	369 (45.17)	448 (54.83)
不好	230 (59.59)	156 (40.41)
听力能力			52.317	＜0.001
极好	6 (27.27)	16 (72.73)
很好	61 (29.90)	143 (70.10)
好	87 (39.55)	133 (60.45)
一般	436 (47.08)	490 (52.92)
不好	178 (60.14)	118 (39.86)
婚姻状况			10.741	0.001
有伴侣	567 (43.89)	725 (56.11)
无伴侣	201 (53.46)	175 (46.54)

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表 2 倾向评分匹配组间协变量均衡性比较[n(%)]

Table 2. Comparison of covariate equilibrium between propensity score matching groups [n(%)]

变量名	抑郁组(n=768)	非抑郁组(n=900)	χ²值	P值
BMI (kg/m²)			5.58	0.061
0 ~	166 (52.37)	151 (47.63)
24 ~	79 (42.93)	105 (57.07)
≥28	56 (55.45)	45 (44.55)
睡眠(h/d)			2.36	0.307
0 ~	98 (46.01)	115 (53.99)
6 ~	152 (52.96)	135 (47.04)
≥9	51 (50.00)	51 (50.00)
远处视物			0.69	0.953
极好	6 (54.55)	5 (45.45)
好	39 (52.00)	36 (48.00)
好	43 (47.25)	48 (52.75)
一般	118 (49.17)	122 (50.83)
不好	95 (51.35)	90 (48.65)
近处视物			6.08	0.193
极好	6 (42.86)	8 (57.14)
很好	48 (48.48)	51 (51.52)
好	63 (47.01)	71 (52.99)
一般	124 (56.36)	96 (43.64)
不好	60 (44.44)	75 (55.56)
听力能力			3.96	0.411
极好	3 (37.50)	5 (62.50)
很好	48 (48.48)	51 (51.52)
59 (49.17)	61 (50.83)
一般	136 (54.18)	115 (45.82)
不好	55 (44.35)	69 (55.65)
婚姻状况			3.63	0.06
有伴侣	227 (52.42)	206 (47.58)
无伴侣	74(43.79)	95 (56.21)

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