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頁籤選單縮合
題 名 | 臺灣老人憂鬱狀態變化及其影響因子=A Panel Study on Factors Affecting the Changing Status of Depression among the Elderly in Taiwan |
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作 者 | 林正祥; 陳佩含; 林惠生; | 書刊名 | 人口學刊 |
卷 期 | 41 2010.12[民99.12] |
頁 次 | 頁67-109 |
分類號 | 415.9518 |
關鍵詞 | 長期追蹤; 老人; 憂鬱; GEE模式; 復發事件存活模式; Panel study; Elderly people; Depression; GEE; Recurrent survival model; |
語 文 | 中文(Chinese) |
中文摘要 | 臺灣65歲以上老人佔全國比例從1996年的7.9%至2005年提升到9.7%,至今已超過200萬人,佔總人口比例的10%以上,其中約有12%~20%患有憂鬱(depression),如果未來的老年人口不能更健康,則可預見將來家庭、社會及國家的負擔將會相當沉重。隨著年齡增長所累積的許多生活經驗,會增加老人心理健康的問題,憂鬱會影響老年人的生活品質,因此了解影響臺灣老年人憂鬱狀況的因素甚為重要。有鑒於此,本研究擬針對臺灣地區影響老人憂鬱狀態變化趨勢的相關因素,作深入的探討研究,以14年(1989-2003年)臺灣地區長期追蹤的老人為樣本,探討臺灣地區60歲以上老人憂鬱的變動趨勢。利用行政院衛生署國民健康局提供的1989-2003年五波「臺灣地區老人保健與生活問題長期追蹤調查」資料進行分析探討,以憂鬱量表(CES-D)建構老人憂鬱程度指標,指標值10分或以上歸類為有憂鬱之老人,本研究兼具橫斷面暨縱斷面分析,利用迴歸模式及邏輯斯迴歸模式探討比較1989-2003年五次調查之背景特徵、家庭狀況、社會經濟及健康狀況與老人憂鬱的關係,此外,將憂鬱狀態視為重覆變化事件,以GEE模式及復發事件存活模式分析此一長期追蹤資料,探討影響老人憂鬱的重要因子。研究結果顯示,五次調查迴歸分析及邏輯斯迴歸分析可看出各次調查中與憂鬱相關的因子之消長,從一開始多數因子的影響,直至2003年時調查結果顯示,配偶、經濟狀況、健康自評及體能狀況對老人憂鬱有顯著的相關。GEE模式除了失能狀況之外,背景特徵、家庭狀況、社會經濟及健康狀況相關因子大都與憂鬱有關,而復發事件存活模式(CP)則顯示在五次的調查期間開始無憂鬱的老人,經歷14年,年齡、教育程度、經濟狀況及健康自評與憂鬱的發生有密切的相關。 |
英文摘要 | During the past decades, many developed and developing countries have experienced a steady increase in their elderly population. With an increase in the proportion of the elderly in the population, the focus of public health also needs major adjustments in health policies in order to face challenges due to change in age composition. One major problem in the elderly population is to deal with depression. This research used representative panel sample survey data collected in the five waves of "The Longitudinal Sample Survey of Health and Living Status of the Elderly in Taiwan" conducted in 1989, 1993, 1996, 1999 and 2003 by the predecessor organization of the Bureau of Health Promotion, Department of Health. Based on a panel sample of elderly who were 60 years old and over at the time of the first interview in 1989 and re-interviewed in 1993, 1996, 1999 and 2003, a complete set of depression scale (CES-D) data was used for this analysis. A depression index score (CES-D score) was constructed from ten items to measure the level of depression, and the elderly with a CES-D score equal or higher than 10 (CES-D≧10) were regarded as depressed (depression status). The purpose of this panel study is to explore the effect of various factors, e.g. health status, home and environment, and social and economic situation, on the changing status of depression of the elderly in Taiwan. Both Regression and Logistic Regression models are adopted to investigate the factors related to depression among the elderly in 5 waves of a cross-sectional survey. In addition, a Generalized Estimating Equation (GEE) accounts for the correlation among repeated observations, and a Recurrent Survival Model, which unites the recurrent events of depression in the five-wave survey, are employed for analyzing the changing status of depression and its related factors among the elderly in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。