Association analysis of factors influencing psychosomatic diseases among middle-aged and elderly people in China.

OBJECTIVE

This study aimed to explore the association between psychological factors and noncommunicable chronic diseases (NCDs).

METHODS

This study used CLHLS database and included a sample of 10,702 cases. Single-factor and multi-factor logistic regression analyses were used to determine the possible risk factors for developing psychosomatic diseases.

RESULTS

Univariate logistic regression found statistically significant associations between the development of psychosomatic disorders and depression, anxiety, sleep duration, and dyslipidemia (P < 0.05). Multivariate logistic regression concluded that depression, anxiety, sleep duration <7 h, and dyslipidemia were risk factors for developing psychosomatic disorders. Depression was a significant risk factor for the development of diabetes (OR = 1.419; 95 %CI: 1.034, 1.946), bronchitis (OR = 1.416; 95 %CI: 1.025, 1.956), gastrointestinal ulcers (OR = 1.541; 95 %CI: 1.223, 1.942), and arthritis (OR = 1.225; 95 %CI: 1.047, 1.433). Anxiety was a significant risk factor for developing bronchitis (OR = 1.240; 95 %CI: 1.061, 1.449), gastrointestinal ulcers (OR = 1.257; 95 %CI: 1.017, 1.554), and arthritis (OR = 1.303; 95 %CI: 1.123, 1.512). Sleep duration <7 h was associated with the development of diabetes (OR = 1.473; 95 %CI: 1.200, 1.808), bronchitis (OR = 1.213; 95 %CI: 1.011, 1.455), gastrointestinal ulcers (OR = 1.795; 95 %CI: 1.356, 2.377), and arthritis (OR = 1.532; 95 %CI: 1.272, 1.845). Dyslipidemia was a significant risk factor for developing diabetes (OR = 3.945; 95%CI: 3.254, 4.783), bronchitis (OR = 1.769; 95 %CI: 1.398, 2.239), gastrointestinal ulcers (OR = 3.244; 95 %CI: 2.491, 4.226), and arthritis (OR = 3.733; 95 %CI: 3.114, 4.571).

CONCLUSIONS

The monitoring of psychological factors as a prospective observation sentinel for NCDs prevention and control should be improved, the traditional intervention model of NCDs prevention and control should be changed.