济南市65岁以上老年人精神健康状况影响因素研究

山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (1): 120-123.

济南市65岁以上老年人精神健康状况影响因素研究

吴敏1，李士雪1，Ning Jackie Zhang2，朱嫒嫒1，宁博1，Thomas Wan2, Lynn Unruh2

1.山东大学公共卫生学院社会医学与卫生事业管理研究所，济南 250012；
2.美国中佛罗里达大学公共事务与卫生管理学院，奥兰多32826，美国

收稿日期:2010-07-04 出版日期:2011-01-10 发布日期:2011-01-10
通讯作者: 李士雪(1961- )，男，教授，博士生导师，主要从事卫生事业管理研究。 E-mail:lishixue@sdu.edu.cn
作者简介:吴敏(1980- )，女，博士研究生，主要从事卫生服务研究。
基金资助:
美国国立卫生研究院（NIH）资助项目（1R03TW008136-01）。

An analysis of individual and contextual factors of mental health for the elderly

WU Min1, LI Shi-xue1, NING Jackie Zhang2, ZHU Ai-ai1, NING Bo1, Thomas Wan2, Lynn Unruh2

1. Institute of Social Medicine and Health Administration, School of Public Health, Shandong University, Jinan 250012, China; 2. College of Health and Public Affairs, University of Central Florida, Orlando 32826, USA

Received:2010-07-04 Online:2011-01-10 Published:2011-01-10

摘要/Abstract

摘要：

目的了解老年人精神健康状况及其影响因素。方法随机抽取济南市1071名65岁以上老年人，采用改编后的“社区需要评估工具”进行问卷调查，应用广义线性模型进行统计分析。结果老年人精神健康平均得分为46.57分，男性高于女性（P=0.001）,城市高于农村（P=0.009）。与子女相聚的实际频率低于期望,生活部分自理或完全不能自理可能降低老年人的精神健康水平；而朋友人数大于5人、对居住环境较为满意、参加锻炼、身体和经济状况较好可能会提高老年人的精神健康水平。结论老年人精神健康水平总体较好。影响因素主要包括与子女相聚的频率、朋友人数、居住满意度、参加集体活动和体育锻炼、身体健康状况和生活自理能力以及经济状况等。

关键词: 老年人；精神健康；影响因素

Abstract:

Objective To analyze individual and contextual factors of mental health for the elderly. Methods A total of 1071 persons， aged over 65， were randomly chosen from 6 districts in Jinan and interviewed. The General Linear Model was used to analyze the potential relationships between the factors and mental health score. Results The average mental health score was 46.57. Males had a higher score than females (P=0.001）. Compared with those living in rural areas, the elderly in urban areas had a higher mental health score（P=0.009）. Low frequency of meeting with their adult children and low ADL (Ability of Daily Life) decreased the mental health score. More than 5 friends, satisfaction with community, physical exercises, better health and financial conditions increased the mental health score. Conclusion The elderly generally have good mental health conditions. The frequencies of meeting with their adult children, community satisfaction, physical exercises, health and financial conditions are associated with the mental health condition.

Key words: Elderly; Mental health; Influencing factors

中图分类号:

R195

吴敏1，李士雪1，Ning Jackie Zhang2，朱嫒嫒1，宁博1，Thomas Wan2, Lynn Unruh2. 济南市65岁以上老年人精神健康状况影响因素研究[J]. 山东大学学报(医学版), 2011, 49(1): 120-123.

WU Min1, LI Shi-xue1, NING Jackie Zhang2, ZHU Ai-ai1, NING Bo1, Thomas Wan2, Lynn Unruh2. An analysis of individual and contextual factors of mental health for the elderly[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(1): 120-123.

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