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首页> 外文期刊>SSM - Population Health >Work status, retirement, and depression in older adults: An analysis of six countries based on the Study on Global Ageing and Adult Health (SAGE)
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Work status, retirement, and depression in older adults: An analysis of six countries based on the Study on Global Ageing and Adult Health (SAGE)

机译：老年人的工作状况，退休和抑郁：基于全球老龄化与成人健康研究的六个国家的分析

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The aim of the present study was to analyse the association between the occurrence of a major depressive episode among older adults and work status in low- and medium-income countries. A cross-sectional study was conducted with people 60 years of age and older from the six countries (Mexico, India, China, Russian Federation, Ghana and South Africa) included in the Study on Global Ageing and Adult Health (SAGE) and who participated in its first wave (2009–2010). The occurrence of a major depressive episode (MDE) over the previous 12 months was determined based on an adaptation of the ICD-10 diagnostic criteria. The association between current work status and the presence of an MDE was estimated using binary logistic regression models with country-level fixed effects, and interaction terms between the country and work status. Results showed the odds of presenting an MDE were lower for older adults who were retired with a pension than for those who were currently working, although this protective association was observed only for men in China (OR=0.23; CI 95%:0.08–0.70) and Ghana (OR=0.25; CI 95%:0.07–0.95) and for women in India (OR=0.05; CI 95%:0.01–0.51) and South Africa (OR=0.19; CI 95%:0.04–0.97). For women, being a homemaker also showed a protective association in South Africa (OR=0.09; CI95%:0.01–0.66) and Mexico (OR=0.32; CI95%:0.14–0.76). In the case of being retired without a pension, no significant association was found in any country. The previous indicates that retirement with pension has a protective association with MDE only for men in China and Ghana and women in India and South Africa. The heterogeneity of this association reflects cultural and socioeconomic differences between the analysed countries.
机译：本研究的目的是分析老年人中严重抑郁发作的发生与中低收入国家工作状况之间的关系。对来自六个国家（墨西哥，印度，中国，俄罗斯联邦，加纳和南非）的60岁及60岁以上的人进行了横断面研究，这些人参加了全球老龄化和成人健康研究（SAGE）在第一波（2009-2010年）。根据对ICD-10诊断标准的调整，确定过去12个月中发生的严重抑郁发作（MDE）。使用具有国家级别固定影响的二元逻辑回归模型以及国家和工作状态之间的交互条件，估算了当前工作状态与MDE存在之间的关联。结果表明，退休人员退休后提交MDE的几率比目前工作的人低，尽管这种保护性关联仅在中国男性中观察到（OR = 0.23; CI 95％：0.08–0.70 ）和加纳（OR = 0.25; CI 95％：0.07-0.95），以及印度（OR = 0.05; CI 95％：0.01-0.51）和南非（OR = 0.19; CI 95％：0.04-0.97）的女性。对于女性而言，做家庭主妇在南非（OR = 0.09; CI95％：0.01–0.66）和墨西哥（OR = 0.32; CI95％：0.14-0.76）也显示出保护性关联。在没有养恤金的情况下退休，在任何国家都没有发现重要的组织。前面的内容表明，退休金退休仅与中国和加纳的男性以及印度和南非的女性与MDE有保护关系。该协会的异质性反映了所分析国家之间的文化和社会经济差异。

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