基于倾向性评分的我国老年哮喘病人抑郁症状的影响因素分析

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AbstractObjective：Toexploretheinfluencingfactorsofdepressivesymptoms inolderasthmapatients inChinabasedonpropensity score matching（PSM）.Methods：Usingdata from the China HealthandRetirement Longitudinal Study（CHARLS），propensityscore matchingwasapliedtomatchgeneraliformationndLgisticegressionanalysiswasconductedtoidentifyactorsassociatedwith depressive symptoms in older asthma patients.Results： The occurance rate of depressive symptoms was 32.4%（1780/5500） in the non-asthma group and 42.3%（116/274） intheasthma group，with statistically significant difference between the two groups P<0.001 ） Atotalof272matchedpairsweresucesfullyestablshd.Postmatchnganalysisshowednostatisticallysignificantdifereceinthe occurance rate of depressive symptoms between non-asthma patients and asthma patients （P>0.05） .Logistic regression analysis revealed thatself-careablity，nghtiesleepdurationandomorbiditieswereifluencingfactrsfordepressvesymptomsindrasthma patients.Conussuldeaseeopressiultsurte，arebilitie duration，andcomorbiditiessignificantlyinfluencedepresivesymptomsinlderasthapatients.Targeted interventionssouldbe implemented to alleviate depressive symptoms in this population.

Keywordsolderpatients;asthma;depression;self-care ability;sleepdisorders;chronicdiseases;propensityscorematching

关键词老年人；哮喘；抑郁；自理能力；睡眠障碍；慢性病；倾向性评分 doi：10.12102/j.issn.1009-6493.2025.17.006

支气管哮喘（bronchialasthma，BA）是一种常见的慢性气道炎症性疾病1，也是一种与社会心理因素密切相关的呼吸系统疾病[2]。（剩余7318字）