Depressive symptoms among older adults: The impact of early and later life circumstances and marital status
Depressive symptoms among older adults: The impact of early and later life circumstances and marital status
复制标题
DOI：
10.1080/13607863.2012.747078
复制
发表时间：
2013-04-01
影响因子：
3.4
通讯作者：
Timonen, Virpi
中科院分区：
文献类型：
--
作者：
Kamiya, Yumiko;Doyle, Martha;Timonen, Virpi
目的：本文有助于抑郁症和生命历程的文学研究早期和后期的生活环境对抑郁症状的男性和女性年龄在65岁及以上的爱尔兰。方法：数据来自爱尔兰老龄化纵向研究的第一波，这是一个具有全国代表性的样本，共有8504名50岁及以上的社区居民。大约3507名年龄在65岁及以上的受访者被纳入分析。多项逻辑回归被用来检查童年和成年早期的生活环境与婚姻状况。一系列的嵌套模型估计，以评估儿童和成年的情况与抑郁症状。分别对男性和女性的模型进行估计。结果：儿童期和晚年的健康状况不佳对男性和女性晚年的抑郁症有着强烈而直接的影响。其他的早期压力源是由后来的环境所介导的。婚姻状况是晚年抑郁症的重要独立预测因子。晚年生活环境在某些婚姻状况和抑郁症状之间起着中介作用。如果把晚年的生活环境也考虑在内，丧偶和离婚（对男人来说）与抑郁症有直接联系，但单身则不然。晚年的收入与女性的抑郁症状密切相关。结论：早期和晚期生活环境均影响老年抑郁症状。我们的研究结果表明，以前的研究没有考虑这两个可能低估或高估了婚姻状况，教育，目前的健康和教育对抑郁症状的影响。
Objective: This article contributes to the literature on depression and the life course by examining the impact of both early and later life circumstances on depressive symptoms among men and women aged 65 and over in Ireland. Method: Data are from the first wave of The Irish Longitudinal Study on Ageing, a nationally representative sample of 8504 community-dwelling adults aged 50 years and older. About 3507 respondents aged 65 years and over were included in the analysis. Multinomial logistic regression was used to examine the childhood and early adult life circumstances associated with marital status. A series of nested models were estimated to evaluate which childhood and adulthood circumstances are associated with depressive symptoms. Models were estimated separately for men and women. Results: Ill health in childhood and in later life has a strong and direct effect on depression in later life for both men and women. Other early stressors are mediated by later circumstances. Marital status is a significant independent predictor of depression in later life. Later life circumstances mediate between some marital statuses and depressive symptoms. When later life circumstances are included, widowhood and, for men, divorce, are directly associated with depression, but singlehood is not. Income in later life is strongly associated with depressive symptoms for women. Conclusion: Both early and later life circumstances affect late-life depressive symptoms. Our findings indicate that previous studies which did not consider both may have underestimated or overestimated the effect of marital status, education, current health and education on depressive symptoms.