台灣中老年人憂鬱症狀與新發糖尿病關聯之探討

目標：憂鬱與糖尿病都是中老年人常見的健康議題，且相互影響，但憂鬱症狀對老年人新發糖尿病的影響則研究較少。因此，本研究探討台灣中老人憂鬱症狀與新發糖尿病的關聯。方法：分析「台灣中老年身心社會生活狀況長期追蹤調查」1999及2003年的資料庫。以邏輯斯迴歸分析基準點憂鬱症狀（依CES-D分數分無（0分）、輕（1-5分）、中（6-9分）、和重（≥ 10分）四組）與4年後（2,937人）新發糖尿病的縱性關聯（先排除於1999年患糖尿病者），及憂鬱症狀與糖尿病於1999年（4,214人，≥ 53歲）的橫斷關聯。結果：在控制性別、年齡、教育年數、運動、抽菸、喝酒、嚼檳榔、BMI、行動依賴、高血壓、心臟病、...

Full description

Saved in:
Bibliographic Details
Published in台灣公共衛生雜誌 Vol. 33; no. 3; pp. 312 - 322
Main Authors 李淑惠(Shu-Hui Lee), 蔡仲弘(Alan C. Tsai)
Format Journal Article
LanguageChinese
Published 台灣 臺灣公共衛生學會 15.06.2014
台灣公共衛生學會
Subjects
depression
diabetes
new onset diabetes
older adults
Scopus
TSSCI
中老年人
憂鬱症狀
新發糖尿病
糖尿病
憂鬱症狀
new onset diabetes
新發糖尿病
older adults
depression
糖尿病
diabetes
中老年人
Online AccessGet full text
ISSN1023-2141
DOI10.6288/TJPH201433103016

Cover

Abstract 目標：憂鬱與糖尿病都是中老年人常見的健康議題，且相互影響，但憂鬱症狀對老年人新發糖尿病的影響則研究較少。因此，本研究探討台灣中老人憂鬱症狀與新發糖尿病的關聯。方法：分析「台灣中老年身心社會生活狀況長期追蹤調查」1999及2003年的資料庫。以邏輯斯迴歸分析基準點憂鬱症狀（依CES-D分數分無（0分）、輕（1-5分）、中（6-9分）、和重（≥ 10分）四組）與4年後（2,937人）新發糖尿病的縱性關聯（先排除於1999年患糖尿病者），及憂鬱症狀與糖尿病於1999年（4,214人，≥ 53歲）的橫斷關聯。結果：在控制性別、年齡、教育年數、運動、抽菸、喝酒、嚼檳榔、BMI、行動依賴、高血壓、心臟病、腎臟病、痛風、及各類食物攝取頻率的狀況下，發現憂鬱症狀與新發糖尿病呈縱性正關聯（重度症狀增加新發糖尿病76%（OR = 1.76, 95%CI = 1.11-2.80, p = 0.016），中度症狀增加89%（1.89, 1.24-2.91, p = 0.003）。憂鬱症狀與糖尿病也呈橫斷正關聯。結論：結果顯示憂鬱症狀，甚至只具中度症狀都會增高新發糖尿病的風險。憂鬱症狀篩檢應為中老年人糖尿病防治重要的一環。
AbstractList 目標：憂鬱與糖尿病都是中老年人常見的健康議題，且相互影響，但憂鬱症狀對老年人新發糖尿病的影響則研究較少。因此，本研究探討台灣中老人憂鬱症狀與新發糖尿病的關聯。方法：分析「台灣中老年身心社會生活狀況長期追蹤調查」1999及2003年的資料庫。以邏輯斯迴歸分析基準點憂鬱症狀（依CES-D分數分無（0分）、輕（1-5分）、中（6-9分）、和重（≥ 10分）四組）與4年後（2,937人）新發糖尿病的縱性關聯（先排除於1999年患糖尿病者），及憂鬱症狀與糖尿病於1999年（4,214人，≥ 53歲）的橫斷關聯。結果：在控制性別、年齡、教育年數、運動、抽菸、喝酒、嚼檳榔、BMI、行動依賴、高血壓、心臟病、腎臟病、痛風、及各類食物攝取頻率的狀況下，發現憂鬱症狀與新發糖尿病呈縱性正關聯（重度症狀增加新發糖尿病76%（OR = 1.76, 95%CI = 1.11-2.80, p = 0.016），中度症狀增加89%（1.89, 1.24-2.91, p = 0.003）。憂鬱症狀與糖尿病也呈橫斷正關聯。結論：結果顯示憂鬱症狀，甚至只具中度症狀都會增高新發糖尿病的風險。憂鬱症狀篩檢應為中老年人糖尿病防治重要的一環。
Objectives: Depression and diabetes mellitus are two major geriatric health issues. The two diseases also share a bidirectional relationship. However, the association between depressive symptoms and new-onset diabetes in older adults has not yet been well investigated. Thus, the present study was aimed to determine the association between depressive symptoms and newonset diabetes in older Taiwanese. Methods: The study analyzed the 1999 and 2003 datasets of the “Taiwan Longitudinal Survey on Aging” (TLSA). Logistic regression analyses were performed to determine the longitudinal association of depressive symptoms (classified into four levels according to CES-D score: 0 = no, 1-5 = low, 6-9 = moderate, and ≥10 = high) with newonset diabetes four years later (N=2,937) after excluding those who had diabetes at baseline, and the cross-sectional association of depressive symptoms with diabetes at baseline (N=4,214, ≥53 years old). Results: Under the control of the potential confounders (including sociodemographic,
Author 李淑惠(Shu-Hui Lee)
蔡仲弘(Alan C. Tsai)
Author_xml – sequence: 1
  fullname: 李淑惠(Shu-Hui Lee)
– sequence: 2
  fullname: 蔡仲弘(Alan C. Tsai)
BookMark eNpVkDFLw1AUhd9QwVq7O_gXove-G1-SSaSoVQo6dA95yQuNSAqpIt1aQSsU6tYiOOnioBjRwRbBP9M26b8wpV2cDofDvZzvrLFcWA8VYxsIW4Kb5nb1-LTMAXUiBAIUOZZH4KRx1HGVFRuNQAJwLggtK892J_dx0n4ef7-lrfZk-DUejaa317PXj2TQSbqt9K4z7cfJw0_y2Z_Ev8ngZjZ4TNvv42F32ntKX3rrbMV3zhuquNQCqx7sV0tlrXJyeFTaq2iOKUBzlOv5KLjuGa7rkisByULfIuUJyQ1JQvqGdAF9gXpWlFtyRwnTIE-h9LhPBba5eFtrXilp15qRcjwbMkAdTcji8iJ2gii4COyz-mUUZnXsOfkc3J4vAmIpaEF2-t8Qcps4pz-GtHFV
ContentType Journal Article
DBID 188
9RA
DOI 10.6288/TJPH201433103016
DatabaseName Chinese Electronic Periodical Services (CEPS)
HyRead台灣全文資料庫
DatabaseTitleList

DeliveryMethod fulltext_linktorsrc
DocumentTitleAlternate The association of depressive symptoms with new-onset diabetes in Taiwanese aged over 53 years
DocumentTitle_FL The Association of Depressive Symptoms with New-Onset Diabetes in Taiwanese Aged Over 53 Years
EndPage 322
ExternalDocumentID 00304180
10232141_201406_201406190003_201406190003_312_322
GroupedDBID 0-V
188
3V.
7XC
8C1
8FE
8FH
8G5
ABDBF
ABUWG
AFKRA
AFRAH
ALIPV
ALMA_UNASSIGNED_HOLDINGS
ALSLI
ARALO
ATCPS
AZQEC
BENPR
BHPHI
BPHCQ
BVBZV
CCPQU
DWQXO
FYUFA
GNUQQ
GUQSH
HCIFZ
M2O
M2R
PATMY
PQQKQ
PROAC
PYCSY
UKHRP
9RA
ACUHS
AEUYN
PHGZM
PHGZT
PJZUB
PPXIY
PRQQA
ID FETCH-LOGICAL-a860-aecdf1624d7ccc3cb01391f93ed6b27b36bf7bc01f61421429b5e6873de1bd2f3
ISSN 1023-2141
IngestDate Thu Jul 31 12:06:21 EDT 2025
Tue Oct 01 22:51:39 EDT 2024
IsPeerReviewed false
IsScholarly false
Issue 3
Keywords 憂鬱症狀
new onset diabetes
新發糖尿病
older adults
depression
糖尿病
diabetes
中老年人
Language Chinese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-a860-aecdf1624d7ccc3cb01391f93ed6b27b36bf7bc01f61421429b5e6873de1bd2f3
PageCount 11
ParticipantIDs hyweb_hyread_00304180
airiti_journals_10232141_201406_201406190003_201406190003_312_322
PublicationCentury 2000
PublicationDate 20140615
PublicationDateYYYYMMDD 2014-06-15
PublicationDate_xml – month: 06
  year: 2014
  text: 20140615
  day: 15
PublicationDecade 2010
PublicationPlace 台灣
PublicationPlace_xml – name: 台灣
PublicationTitle 台灣公共衛生雜誌
PublicationTitle_FL Taiwan Journal of Public Health
PublicationYear 2014
Publisher 臺灣公共衛生學會
台灣公共衛生學會
Publisher_xml – name: 臺灣公共衛生學會
– name: 台灣公共衛生學會
SSID ssib002263199
ssib045314718
ssib020329318
ssib008679309
ssib045314641
ssj0001054028
ssib002263018
ssib004318122
ssib020329562
Score 1.6542931
Snippet 目標：憂鬱與糖尿病都是中老年人常見的健康議題，且相互影響，但憂鬱症狀對老年人新發糖尿病的影響則研究較少。因此，本研究探討台灣中老人憂鬱症狀與新發糖尿病的關聯。方...
Objectives: Depression and diabetes mellitus are two major geriatric health issues. The two diseases also share a bidirectional relationship. However, the...
SourceID hyweb
airiti
SourceType Publisher
StartPage 312
SubjectTerms depression
diabetes
new onset diabetes
older adults
Scopus
TSSCI
中老年人
憂鬱症狀
新發糖尿病
糖尿病
Title 台灣中老年人憂鬱症狀與新發糖尿病關聯之探討
URI https://www.airitilibrary.com/Article/Detail/10232141-201406-201406190003-201406190003-312-322
http://www.hyread.com.tw/hypage.cgi?HYPAGE=search/search_detail_new.hpg&dtd_id=3&sysid=00304180
Volume 33
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVEBS
  databaseName: EBSCOhost Academic Search Ultimate
  issn: 1023-2141
  databaseCode: ABDBF
  dateStart: 20120201
  customDbUrl: https://search.ebscohost.com/login.aspx?authtype=ip,shib&custid=s3936755&profile=ehost&defaultdb=asn
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://search.ebscohost.com/direct.asp?db=asn
  omitProxy: true
  ssIdentifier: ssj0001054028
  providerName: EBSCOhost
– providerCode: PRVPQU
  databaseName: ProQuest Central
  issn: 1023-2141
  databaseCode: BENPR
  dateStart: 20110201
  customDbUrl: http://www.proquest.com/pqcentral?accountid=15518
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://www.proquest.com/central
  omitProxy: true
  ssIdentifier: ssj0001054028
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest East & South Asia Database (NC LIVE)
  issn: 1023-2141
  databaseCode: BVBZV
  dateStart: 20110201
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://search.proquest.com/eastsouthasia
  omitProxy: false
  ssIdentifier: ssj0001054028
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Public Health Database
  issn: 1023-2141
  databaseCode: 8C1
  dateStart: 20110201
  customDbUrl:
  isFulltext: true
  dateEnd: 99991231
  titleUrlDefault: https://search.proquest.com/publichealth
  omitProxy: true
  ssIdentifier: ssj0001054028
  providerName: ProQuest
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Na9RAFA9tvXgRxYr1ix6cU0nNzCSTmZMkaZaloAiu0Nuykw-2IC3Y7qE9tYJWKNRbi-BJLx4UK3qwRfCfabvb_8L3JtkmLT1YEUJ2Mpn33sy8ZOY32TfvWdb9VOeuR31hJ5nIbLeTZLZyNbVZ1mGpghHTobg5-dFj0Xzmzs55cyOjec1qqbesp5PVc_eV_ItWIQ_0irtkL6DZE6aQAWnQL5xBw3D-Kx2T2COyQUKHxD5AQhJwErsklCSYIbFEIwbIhDKhIqFrbgV4xIJIOBiJFQkiElIkV8DBN3xCJERyaXIEUaIUoYBPhImQYyZydkjYGJJ7yBASKjLkUJ-GEaqQJwqNScDwVgB34zosPq8hHjKE6hUJrCQQUqJCI84lqmHEhaW4ICDy5IuvqfUMCoRECMWpkc9J4ACiftrt2c3e_JQxQlIVjUS2IALrHJKQmQZGREmgCZ7DQBhNT7WWMH63qn8soS4adRXbRc3jbVrvm56-UGs81BtoDysfkSLyTjlhAOaxGS2cdw1nFM5rbw6vTQ-8NBkvkAYvdmSfncQwADR6jpl90sQmcBMJjp7xF14u4BjGmaJtLOeI8odiHFh--gIEt0HcqHWJ-UJgpA8Z1WAbEyBBnrqmtWUqgEzAgRUMRieNvHL7xhwOoLGiN9de5YbShXHeFRXsNtdDTGS-heK6gRW7VsvuLCwKsCsenO0IwIqdefT4BevJ7kphuTwEhK2r1pVyJTcZFK_lNWtktXvdenj4dre__vHg55fB2vrh3o-D_f2j1y-PP3_r72z0N9cGbzaOtnf77371v28f7v7u77w63nk_WP96sLd5tPVh8Glr3Go14lbUtMsYJXZHCsfuZEmaU8Hc1E-ShCf4r4KiueJZKjTzNRc693Xi0BxgMHo3VNrLhPR5mlGdspzfsMYWFheym9ak66S6kwOFzHMoqlWiFTD1vCRLYNGRTVhB0ex2OQIttS-s_wlr3PRYu7sCS9K0bQwjqHRu_Qfet63L1Rt3xxpbftHL7gJgX9b3zNP2Bx8kqxI
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E5%8F%B0%E7%81%A3%E4%B8%AD%E8%80%81%E5%B9%B4%E4%BA%BA%E6%86%82%E9%AC%B1%E7%97%87%E7%8B%80%E8%88%87%E6%96%B0%E7%99%BC%E7%B3%96%E5%B0%BF%E7%97%85%E9%97%9C%E8%81%AF%E4%B9%8B%E6%8E%A2%E8%A8%8E&rft.jtitle=%E5%8F%B0%E7%81%A3%E5%85%AC%E5%85%B1%E8%A1%9B%E7%94%9F%E9%9B%9C%E8%AA%8C&rft.au=%E6%9D%8E%E6%B7%91%E6%83%A0%28Shu-Hui+Lee%29&rft.au=%E8%94%A1%E4%BB%B2%E5%BC%98%28Alan+C.+Tsai%29&rft.date=2014-06-15&rft.pub=%E8%87%BA%E7%81%A3%E5%85%AC%E5%85%B1%E8%A1%9B%E7%94%9F%E5%AD%B8%E6%9C%83&rft.issn=1023-2141&rft.volume=33&rft.issue=3&rft.spage=312&rft.epage=322&rft_id=info:doi/10.6288%2FTJPH201433103016&rft.externalDocID=10232141_201406_201406190003_201406190003_312_322
thumbnail_m http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fwww.airitilibrary.com%2Fjnltitledo%2F10232141-c.jpg