右江医学2026，Vol.54Issue(5)：456-462,7.DOI:10.3969/j.issn.1003-1383.2026.05.006
江苏省老年男性退役军人抑郁现状及危险因素分析
Analysis of risk factors for depression among elderly male veterans in Jiangsu Province
摘要
Abstract
Objective To explore the independent risk factors for depression in elderly male veterans in Jiangsu Prov-ince,so as to provide evidence-based basis for the formulation of mental health intervention strategies for this population.Methods A total of 263 elderly male veterans from Jiangsu Province who received short-term convalescence in Jiangsu Second Rongjun Preferential Care Hospital in 2024 were selected as the research subjects.The Hamilton depression scale(HAMD)was used to evaluate the depression status.According to the HAMD total score＞7,the subjects were divided into depression group(n=147)and non-depression group(n=116).The demographic data,prevalence of chronic diseases,and laboratory examination indicators of the two groups were collected.Univariate analysis and binary logistic regression anal-ysis were used to screen the influencing factors of depression,and the predictive value of related factors was evaluated by receiver operating characteristic(ROC)curve.Results The prevalence of depression among the included elderly male veterans was 55.89％.Univariate analysis showed that the age,the proportions of hypertension,type 2 diabetes mellitus,coronary heart disease,atrial fibrillation,ischemic stroke,insomnia,smoking addiction,as well as the levels of diastolic blood pressure,cardiac function classification,total bilirubin,blood urea nitrogen,uric acid,fasting blood glucose,and homocysteine(Hey)in the depression group were significantly higher than those in the non-depression group,while the lymphocyte count was significantly lower than that in the non-depression group(all P＜0.05).Binary logistic regression anal-ysis showed that ischemic stroke(OR=5.145,95％CI:1.170-22.633),elevated cardiac function classification(OR=12.003,95％CI:3.164-45.540),insomnia(OR=6.071,95％CI:3.259-11.311),and elevated Hcy level(OR=1.134,95％CI:1.047-1.229)were independent risk factors for depression in elderly male veterans,while elevated lym-phocyte count was an independent protective factor(OR=0.458,95％CI:0.255-0.820,all P＜0.05).ROC curve anal-ysis showed that insomnia(AUC=0.713,95％CI:0.650-0.777),cardiac function classification(AUC=0.701,95％CI:0.639-0.764),and Hcy(AUC=0.678,95％CI:0.613-0.742)had predictive value for the occurrence of depression(all P＜0.001).Conclusion The prevalence of depression among elderly male veterans in Jiangsu Province is relatively high.Ischemic stroke,decreased cardiac function,insomnia,elevated Hcy,and decreased lymphocyte count are closely related to the occurrence of depression.Early screening and comprehensive intervention targeting the above factors can be carried out clinically to reduce the risk of depression in this population.关键词
老年人/男性/退役军人/抑郁/危险因素/江苏省Key words
aged/male/veterans/depression/risk factors/Jiangsu Province分类
医药卫生引用本文复制引用
陈啸,张嘉玮,李佟,徐慧竹,薛红玉..江苏省老年男性退役军人抑郁现状及危险因素分析[J].右江医学,2026,54(5):456-462,7.基金项目
无锡市卫生健康委员会科研重大项目(Z202322) （Z202322）
