Impairment, disability, social support and depression among older parents in rural Thailand.
Impairment, disability, social support and depression among older parents in rural Thailand.
复制标题
DOI：
10.1017/s003329170999208x
复制
发表时间：
2010-10
影响因子：
6.9
通讯作者：
Abas, M. A.
中科院分区：
文献类型：
--
作者：
Suttajit, S.;Punpuing, S.;Jirapramukpitak, T.;Tangchonlatip, K.;Darawuttimaprakorn, N.;Stewart, R.;Dewey, M. E.;Prince, M.;Abas, M. A.
目前尚不清楚社会支持是否会改变亚洲发展中国家老年人抑郁与损伤或残疾之间的关系。我们使用泰国版本的EURO-D量表来测量1104名年龄大于或等于60岁的泰国农村社区居住父母的抑郁症。这些都是那些提供抑郁症数据的人，他们是一项研究的一部分，研究对象是至少有一个活着的孩子（亲生孩子、继子女或收养的孩子）的老年人。使用Logistic回归模型来确定：(a)损害、残疾和社会支持缺陷是否与抑郁症相关；(b)社会支持是否改变了这种联系。损伤、残疾、社会支持缺陷与EURO-D病例之间存在很强的分级关系。即使在完全调整后，残疾水平（而非残疾）与社会支持不足的相互作用，在那些有更多身体缺陷以及一种或多种社会支持不足的人身上，抑郁症尤其可能出现（相互作用的p值=0.018）。社会支持对于减少泰国老年人身体损伤和抑郁症之间的联系非常重要，特别是对于那些有大量损伤的老年人。在预防老年人抑郁症的干预措施中，应强调加强社会支持以及改善保健和残疾设施。
It is not known whether social support modifies the association between depression and impairment or disability in older people from developing countries in Asia. We used a Thai version of the EURO-D scale to measure depression in 1104 Thai rural community-dwelling parents aged ⩾60 years. These were all those providing data on depression who were recruited as part of a study of older adults with at least one living child (biological, stepchild or adopted child). Logistic regression modelling was used to determine: (a) whether impairment, disability and social support deficits were associated with depression; (b) whether social support modified this association. There were strong graded relationships between impairment, disability, social support deficits and EURO-D caseness. Level of impairment, but not disability, interacted with poor social support in that depression was especially likely in those who had more physical impairments as well as one or more social support deficits (p value for interaction=0.018), even after full adjustment. Social support is important in reducing the association between physical impairment and depression in Thai older adults, especially for those with a large number of impairments. Enhancing social support as well as improving healthcare and disability facilities should be emphasized in interventions to prevent depression in older adults.