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Abstract：
UNASSIGNED: Depressive symptoms are often experienced by patients with arthritis and are correlated with poor health outcomes. However, the association between depressive symptoms and multidimensional factors (sociodemographic characteristics, health conditions, health behaviors, and social support) among older patients with arthritis in China remains poorly understood. This study aimed to explore the prevalence of depressive symptoms in older patients with arthritis in eastern China and identify the associated factors.
UNASSIGNED: We analyzed data of 1,081 older patients with arthritis using secondary data from 2014 to 2020 from a community-based ongoing study initiated in 2014 in eastern China. The prevalence of depressive symptoms was calculated, and univariate and multilevel logistic regression analyses were used to identify the associated factors.
UNASSIGNED: The mean age of older patients with arthritis was 69.16 ± 7.13 years; 42.92% were men and 57.08% were women. The prevalence of depressive symptoms in older patients with arthritis was 14.99% (95% confidence interval: 12.91-17.26%), about 1.8 times higher than that in older adults without arthritis (8.49%, p < 0.001). Multilevel logistic regression identified perception of poor economic status (odds ratio [OR] = 5.52, p < 0.001), multimorbidity (OR = 1.96, p = 0.001), limitations in activities of daily living (OR = 2.36, p = 0.004), and living alone (OR = 3.13, p = 0.026) as factors positively associated with depressive symptoms. Patients diagnosed with arthritis at an older age had lower odds of experiencing depressive symptoms (OR = 0.67, p = 0.046).
UNASSIGNED: Screening for depressive symptoms is essential among older patients with arthritis, especially those who perceive themselves as having a poor economic status, are diagnosed at an earlier age, have multimorbidity, have limitations in activities of daily living, and live alone. The associations of age at arthritis diagnosis and dietary behaviors with depressive symptoms require further research.
UNASSIGNED: We analyzed data of 1,081 older patients with arthritis using secondary data from 2014 to 2020 from a community-based ongoing study initiated in 2014 in eastern China. The prevalence of depressive symptoms was calculated, and univariate and multilevel logistic regression analyses were used to identify the associated factors.
UNASSIGNED: The mean age of older patients with arthritis was 69.16 ± 7.13 years; 42.92% were men and 57.08% were women. The prevalence of depressive symptoms in older patients with arthritis was 14.99% (95% confidence interval: 12.91-17.26%), about 1.8 times higher than that in older adults without arthritis (8.49%, p < 0.001). Multilevel logistic regression identified perception of poor economic status (odds ratio [OR] = 5.52, p < 0.001), multimorbidity (OR = 1.96, p = 0.001), limitations in activities of daily living (OR = 2.36, p = 0.004), and living alone (OR = 3.13, p = 0.026) as factors positively associated with depressive symptoms. Patients diagnosed with arthritis at an older age had lower odds of experiencing depressive symptoms (OR = 0.67, p = 0.046).
UNASSIGNED: Screening for depressive symptoms is essential among older patients with arthritis, especially those who perceive themselves as having a poor economic status, are diagnosed at an earlier age, have multimorbidity, have limitations in activities of daily living, and live alone. The associations of age at arthritis diagnosis and dietary behaviors with depressive symptoms require further research.
摘要：
关节炎患者通常会出现抑郁症状，并与不良的健康状况相关。然而,抑郁症状与多维因素之间的关系(社会人口统计学特征，健康状况,健康行为,和社会支持）在中国的老年关节炎患者中仍然知之甚少。本研究旨在探讨中国东部地区老年关节炎患者抑郁症状的患病率及相关因素。
■我们使用2014年至2020年在中国东部开展的一项基于社区的持续研究中的次要数据，分析了1,081名老年关节炎患者的数据。计算抑郁症状的患病率，单因素和多水平logistic回归分析用于确定相关因素。
老年关节炎患者的平均年龄为69.16±7.13岁；男性占42.92%，女性占57.08%。老年关节炎患者抑郁症状的患病率为14.99%(95%置信区间:12.91-17.26%),比没有关节炎的老年人高出约1.8倍(8.49%，p<0.001)。多水平逻辑回归确定了对不良经济状况的感知(比值比[OR]=5.52，p<0.001)，多发病率（OR=1.96，p=0.001），日常生活活动的局限性(OR=2.36，p=0.004)，和独居（OR=3.13，p=0.026）是与抑郁症状呈正相关的因素。年龄较大时被诊断为关节炎的患者出现抑郁症状的几率较低（OR=0.67，p=0.046）。
■在老年关节炎患者中，筛查抑郁症状至关重要，尤其是那些认为自己经济地位很差的人，在较早的年龄被诊断出来，有多发病率，在日常生活活动中有局限性，独自生活。关节炎诊断年龄和饮食行为与抑郁症状的关系需要进一步研究。
■我们使用2014年至2020年在中国东部开展的一项基于社区的持续研究中的次要数据，分析了1,081名老年关节炎患者的数据。计算抑郁症状的患病率，单因素和多水平logistic回归分析用于确定相关因素。
老年关节炎患者的平均年龄为69.16±7.13岁；男性占42.92%，女性占57.08%。老年关节炎患者抑郁症状的患病率为14.99%(95%置信区间:12.91-17.26%),比没有关节炎的老年人高出约1.8倍(8.49%，p<0.001)。多水平逻辑回归确定了对不良经济状况的感知(比值比[OR]=5.52，p<0.001)，多发病率（OR=1.96，p=0.001），日常生活活动的局限性(OR=2.36，p=0.004)，和独居（OR=3.13，p=0.026）是与抑郁症状呈正相关的因素。年龄较大时被诊断为关节炎的患者出现抑郁症状的几率较低（OR=0.67，p=0.046）。
■在老年关节炎患者中，筛查抑郁症状至关重要，尤其是那些认为自己经济地位很差的人，在较早的年龄被诊断出来，有多发病率，在日常生活活动中有局限性，独自生活。关节炎诊断年龄和饮食行为与抑郁症状的关系需要进一步研究。
