Study on the impact of chronic disease comorbidities on depression symptoms in middle-aged and elderly people based on health ecology models

HUANG Aiwen; LUO Min

doi:10.16462/j.cnki.zhjbkz.2025.02.004

Volume 29 Issue 2

Feb. 2025

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HUANG Aiwen, LUO Min. Study on the impact of chronic disease comorbidities on depression symptoms in middle-aged and elderly people based on health ecology models[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(2): 145-151. doi: 10.16462/j.cnki.zhjbkz.2025.02.004

Citation:

HUANG Aiwen, LUO Min. Study on the impact of chronic disease comorbidities on depression symptoms in middle-aged and elderly people based on health ecology models[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(2): 145-151. doi: 10.16462/j.cnki.zhjbkz.2025.02.004

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Study on the impact of chronic disease comorbidities on depression symptoms in middle-aged and elderly people based on health ecology models

doi: 10.16462/j.cnki.zhjbkz.2025.02.004

HUANG Aiwen¹,
LUO Min^{1, 2
,
,}

1.
School of Medical Administration, Nanjing Medical University, Nanjing 211166, China
2.
Jiangsu Provincial Health Research Institute, Nanjing 211166, China

Funds:

The Ministry of Education of Humanities and Social Science Project 22YJAZH078

Jiangsu Provincial Social Science Fund Project 23SHB013

More Information

Corresponding author: LUO Min, E-mail: luominjs@163.com
Received Date: 2024-06-12
Rev Recd Date: 2024-10-17

Available Online: 2025-03-08

Publish Date: 2025-02-10

Abstract

Abstract

Objective To explore the impact of chronic disease comorbidities on depression symptoms in middle-aged and elderly people, providing a theoretical basis for optimizing psychological health interventions in this population in China. Methods Data from 9 583 middle-aged and elderly individuals in the 2018 China Health and Retirement Longitudinal Study (CHARLS)were analyzed. Chi-square testing and binary logistic regression were performed using SPSS 26.0, and a column chart model for the risk of depression symptoms in those with chronic disease comorbidities was created using R 4.3.3. Results The comorbidity rate of chronic diseases among middle-aged and elderly people in China was 38.81%, and the prevalence of depressive symptoms among those with comorbidities was 61.98%. The likelihood of developing depressive symptoms in those with comorbidities was 1.556 times higher than in those without (95% CI: 1.382-1.753). The prevalence of depressive symptoms increased with the number of chronic diseases (P < 0.001). Additionally, the column chart model showed that depressive symptoms in middle-aged and elderly people were associated with demographic traits, behavioral characteristics, and the policy environment (all P < 0.05). Conclusions Chronic comorbidities increased the risk of depression symptoms among middle-aged and elderly people in China. Therefore, it is necessary to strengthen the health management of middle-aged and elderly people with chronic comorbidities and pay attention to their mental health.
- Chronic comorbidities,
- Middle-aged and elderly people,
- Depressive symptoms,
- Health ecology

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References(11)

References

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