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儿童期家庭关系对中老年抑郁的影响

杜纯静,  逄玥,  孙菊梅,  谢瑞瑞,  王琼,  刘军,  吴炳义

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文章导航 > 中华疾病控制杂志  > 2021 >  25(6): 698-702
杜纯静, 逄玥, 孙菊梅, 谢瑞瑞, 王琼, 刘军, 吴炳义. 儿童期家庭关系对中老年抑郁的影响[J]. 中华疾病控制杂志, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
引用本文: 杜纯静, 逄玥, 孙菊梅, 谢瑞瑞, 王琼, 刘军, 吴炳义. 儿童期家庭关系对中老年抑郁的影响[J]. 中华疾病控制杂志, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
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DU Chun-jing, PANG Yue, SUN Ju-mei, XIE Rui-rui, WANG Qiong, LIU Jun, WU Bing-yi. The influence of childhood family relations on depression of middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
Citation: DU Chun-jing, PANG Yue, SUN Ju-mei, XIE Rui-rui, WANG Qiong, LIU Jun, WU Bing-yi. The influence of childhood family relations on depression of middle-aged and elderly people[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(6): 698-702. doi: 10.16462/j.cnki.zhjbkz.2021.06.014
shu

儿童期家庭关系对中老年抑郁的影响

doi: 10.16462/j.cnki.zhjbkz.2021.06.014
  • 1.

    261053 潍坊，潍坊医学院管理学院

  • 2.

    261053 潍坊，潍坊医学院党委办公室

  • 3.

    261053 潍坊，潍坊医学院管理学院社会医学教研室

基金项目: 

国家社会科学基金 17ZDA124

国家社会科学基金 18BRK013

详细信息
    通讯作者:

    吴炳义，E-mail：wuby369@163.com

  • 中图分类号: R749.4

The influence of childhood family relations on depression of middle-aged and elderly people

  • 1.

    School of Management, Weifang Medical University, Weifang 201053, China

  • 2.

    Party Committee Office, Weifang Medical University, Weifang 201053, China

  • 3.

    Department of Social Medicine, School of Management, Weifang Medical University, Weifang 201053, China

Funds: 

National Social Science Foundation of China 17ZDA124

National Social Science Foundation of China 18BRK013

More Information

    摘要
  • 摘要:   目的  通过定量分析儿童期家庭关系对中老年抑郁的影响，为中老年人心理健康的促进策略提供全生命周期视角。  方法  基于“中国健康与养老追踪调查”(China Health and Retirement Longitudinal Study, CHARLS)(2013、2014和2015)数据，运用单因素分析和二元Logistic回归分析模型分析。  结果  中老年人抑郁发生率为31.2%；单因素分析显示，中老年抑郁发生风险在不同年龄、性别、婚姻状况、受教育程度、父母受教育程度、出生地、儿童期家庭经济状况、健康状况、与不同性别抚养人的关系、父母间的关系差异具有统计学意义(均有P < 0.05)；回归分析模型分析结果显示，儿童期与抚养人关系差和父母间关系差是中老年抑郁发生的危险因素。儿童期与女性抚养人关系差是关系好的1.95倍，儿童期与男性抚养人关系差是关系好的1.58倍，儿童期父母间关系差是关系好的1.40倍。  结论  儿童期家庭关系对生命中后期的心理健康状况具有重要影响，儿童期不良的父母关系及代际关系，特别是母子关系是中老年期抑郁发生的危险因素；应以全生命周期为视角，理解和制定中老年健康促进策略。
    Abstract:   Objective  Through quantitative analysis of the influence of childhood family relationship on depression in middle-aged and elderly people, this paper aims to provide a life-cycle perspective for the promotion strategies of mental health in middle-aged and elderly people.  Methods  Based on the data of the China Health and Retirement Longitudinal Study(CHARLS) (2013, 2014, and 2015), Logistic regression model were used to evaluate the relationship between childhood family relationship and mental health in the middle and later stages of life.  Results  The incidence of depression in middle-aged and older people was 31.2%. Univarriate Logistic regression analysis showed that factors including age, gender, marital status, education level, parents' education level, birthplace, childhood family economic status, health status, relationship with parents of different genders, and the relationship between parents were risk factors for depression in middle-aged and older people (all P<0.05). The binary Logistic regression results showed that poor relationships with caregivers and poor relationships between parents in childhood were risk factors for depression in middle-aged and older people. Specifically, the risk of depression in middle-aged and older people who have a "poor relationship" with a male caregiver during childhood was 1.58 times that of a "good relationship, " and this risk increased to 1.95 times when they have a "poor relationship" with a female caregiver during childhood.In addition, the risk of depression in middle-aged and older people with "poor relationship" between parents in childhood was 1.40 times that of a "good relationship".  Conclusion  Family relationship in childhood plays a vital role in mental health in the middle and later life. In childhood, the bad inter-generations, especially the bad mother-child relationship, are the risk factors of depression for middle-aged and older people. We should understand and formulate health promotion strategies for middle-aged and older adults from the whole life cycle perspective.
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  • 表  1  中老年人一般人口学特征及抑郁状况分析[n(%)]

    Table  1.   The general demographic characteristics and depression of middle-aged and elderly people [n(%)]

    变量 人数 正常 抑郁 χ2 P值
    年龄(岁) 82.668 < 0.001
      45~＜55 4 427(29.6) 3 224(72.8) 1 203(27.2)
      55~＜65 5 422(36.3) 3 774(69.6) 1 648(30.4)
      ≥65 5 098(34.1) 3 279(64.3) 1 819(35.7)
    性别 353.044 < 0.001
      男 7 098(47.5) 5 412(76.2) 1 686(23.8)
      女 7 849(52.5) 4 865(62.0) 2 984(38.0)
    婚姻状况 100.894 < 0.001
      有配偶 13 042(87.3) 9 157(70.2) 3 885(29.8)
      无配偶 1 905(12.7) 1 120(58.8) 785(41.2)
    受教育程度 368.381 < 0.001
      小学及以下 9 508(63.6) 6 026(63.4) 3 482(36.6)
      中学 5 114(34.2) 3 964(77.5) 1 150(22.5)
      大专及以上 325(2.2) 287(88.3) 38(11.7)
    母亲受教育状况 44.880 < 0.001
      未受过教育 13 235(88.5) 8 979(67.8) 4 256(32.2)
      受过教育 1 712(11.5) 1 298(75.8) 414(24.2)
    父亲受教育状况 45.248 < 0.001
      未受过教育 8 285(55.4) 5 507(66.5) 2 778(33.5)
      受过教育 6 662(44.6) 4 770(71.6) 1 892(28.4)
    出生地 70.283 < 0.001
      农村 13 735(91.9) 9 314(67.8) 4 421(32.2)
      城市 1 212(8.1) 963(79.5) 249(20.5)
    儿童期家庭经济状况 202.439 < 0.001
      差 6 016(40.2) 3 741(62.2) 2 275(37.8)
      好 8 931(59.5) 6 536(73.2) 2 395(26.8)
    儿童期健康状况 99.982 < 0.001
      差 9 753(65.3) 6 436(66.0) 3 317(34.0)
      好 5 193(34.7) 3 841(74.0) 1 353(26.0)
    儿童期与女性抚养人关系 72.712 < 0.001
      差 137(0.9) 59(43.1) 78(56.9)
      一般 2 324(16.2) 1 557(64.3) 866(35.7)
      好 12 387(82.9) 8 661(69.9) 3 726(30.1)
    儿童期与男性抚养人关系 65.025 < 0.001
      差 176(1.2) 84(47.7) 92(52.3)
      一般 2 762(18.5) 1 789(64.8) 973(35.2)
      好 12 009(80.3) 8 404(70.0) 3 605(30.0)
    儿童期父母间关系 76.886 0.001
      差 451(3.0) 252(55.9) 199(44.1)
      一般 3 292(22.0) 2 127(64.6) 1 165(35.4)
      好 11 204(75.0) 7 898(70.5) 3 306(29.5)
    下载: 导出CSV

    表  2  儿童期家庭关系与中老年人抑郁状况的Logistic回归分析模型分析

    Table  2.   Logistic regression analysis of family relationship in childhood and depression of middle-aged

    变量 模型1 模型2 模型3
    OR值 (95% CI) 值 OR值 (95% CI) 值 OR值 (95% CI) 值
    儿童期与女性抚养人关系
      好 1.000 1.000 1.000
      一般 1.132 c 0.992~1.292 1.107 0.967~1.267 1.094 0.954~1.254
      差 2.210a 1.539~3.173 1.948a 1.347~2.818 1.945a 1.339~2.825
    儿童期与男性抚养人关系
      好 1.000 1.000 1.000
      一般 1.057 0.930~1.200 1.103 0.968~1.257 1.087 0.953~1.240
      差 1.657a 1.198~2.291 1.641a 1.180~2.283 1.579a 1.131~2.205
    儿童期父母间关系
      好 1.000 1.000 1.000
      一般 1.206a 1.101~1.322 1.205a 1.097~1.323 1.167a 1.062~1.283
      差 1.617a 1.326~1.972 1.464a 1.195~1.793 1.399a 1.141~1.717
    年龄(岁)
      45~＜55 0.810a 0.734~0.893 0.792a 0.717~0.874
      55~＜65 0.864a 0.792~0.942 0.856a 0.784~0.934
      ≥65 1.000 1.000
    性别
      男 1.000 1.000
      女 1.810a 1.679~1.952 1.866a 1.730~2.014
    婚姻状况
      有配偶 1.000 1.000
      无配偶 1.309a 1.177~1.455 1.309a 1.176~1.456
    受教育状况
      大专及以上 1.000 1.000
      中学 1.930a 1.361~2.735 1.925a 1.356~2.733
      小学及以下 2.879a 2.032~4.078 2.697a 1.901~3.828
    母亲受教育状况
      受过教育 1.000 1.000
      未受过教育 1.061 0.933~1.207 1.029 0.904~1.172
    父亲受教育状况
      受过教育 1.000 1.000
      未受过教育 1.117a 1.038~1.202 1.083 b 1.005~1.166
    出生地
      城市 1.000 1.000
      农村 1.442a 1.240~1.678 1.411a 1.211~1.643
    儿童期家庭经济状况
      好 1.000
      差 1.551a 1.441~1.668
    儿童期健康状况
      好 1.000
      差 1.386a 1.282~1.497
        注：a P < 0.01; b P < 0.05; c P < 0.1。
    下载: 导出CSV
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