Living arrangements, social networks and depressive symptoms among older men and women in Singapore
Living arrangements, social networks and depressive symptoms among older men and women in Singapore
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DOI：
10.1002/gps.2574
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发表时间：
2011-06-01
影响因子：
4
通讯作者：
Ostbye, Truls
中科院分区：
文献类型：
--
作者：
Chan, Angelique;Malhotra, Chetna;Ostbye, Truls
目的：研究老年男性和女性的生活安排和家庭外的社交网络与抑郁症状之间的关联，确定这些关系在老年男性和女性之间是否存在差异，并调查生活安排与抑郁症状之间的关联是否因社交网络的强度而异。4489社区居住的新加坡人，年龄在60岁以上，从最近的全国代表性调查的数据进行了分析。使用11项CES-D（流行病学研究中心）量表评估抑郁症状，通过Lubben修订的社会网络量表评估社交网络，通过家庭组成评估生活安排。按性别分层分析，并使用描述性和多变量统计来评估抑郁症状的风险，生活安排和社交网络，调整年龄，种族，教育，住房类型，功能状态，慢性疾病的数量和参与社会activity.Results：女性抑郁症状评分高于男性。独居和与至少1个孩子（无配偶）（相对于与配偶和孩子一起生活）以及家庭外社交网络薄弱与男性和女性的抑郁症状评分较高相关。男性独自生活在家庭以外的弱社交网络有较高的抑郁症状评分比那些强大的networks.Conclusion：研究结果有影响的重要性，加强非家庭社交网络的老年人，特别是那些独自生活。版权所有（C）2010约翰威利父子有限公司
Objectives: To examine the association of living arrangements and social networks outside the household with depressive symptoms among older men and women, ascertain if these relationships differ between older men and women, and investigate whether the association of living arrangements with depressive symptoms varies by strength of social networks.Methods: Data for 4489 community-dwelling Singaporeans, aged 60 years and older, from a recent nationally representative survey were analyzed. Depressive symptoms were assessed using the 11-item CES-D (Center for Epidemiologic Studies) scale, social networks through Lubben's revised social network scale, and living arrangements through household composition. Analysis was stratified by gender, and descriptive and multivariate statistics were used to assess the risk of depressive symptoms by living arrangements and social networks, adjusting for age, ethnic group, education, housing type, functional status, number of chronic diseases and involvement in social activities.Results: Women had higher depressive symptom scores than men. Living alone and living with at least 1 child (no spouse) (relative to living with spouse and children), and weak social networks outside the household were associated with higher depressive symptom scores among both men and women. Men living alone with weak social networks outside the household had higher depressive symptom scores than those with strong networks.Conclusion: The findings have implications regarding the importance of strengthening non-familial social networks of older adults, particularly for those living alone. Copyright (C) 2010 John Wiley & Sons, Ltd.