A Cross-sectional Study on the Relationship between Social Support and Depression in Community Population
摘要
Background Depression is an increasingly serious public health problem worldwide, and the relationship between depression diagnosed using personality disorder formulaic interviews (SCID) and social support according to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) is currently unclear. Objective To explore the relationship and improvement strategies between social support and depression in community populations. Methods From September 2022 to November 2023, a total of 2 549 people from Majiagou Community in Kailuan, Tangshan City, Hebei Province were collected for health examinations, the collection of social support is conducted by using Social Support Rating Scale (SSRS), and the diagnosis of depression is carried out through SCID in the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Logistic regression model was used to analyze the correlation between social support and depression, Lasso regression analysis was used to obtain variable importance, and further analyzed the relationship between social support and depression using subgroup analysis. Results This study included a total of 2 189 individuals who met the inclusion and exclusion criteria, including 312 individuals (14.25%) with depression and 1 877 individuals (85.75%) without depression. The prevalence of depression in high-level social support was 12.07% (225/1 864), in moderate level social support it was 19.84% (51/257), and in low-level social support it was 52.94% (36/68). In Lasso regression analysis, social support (coefficient=1.082) was the most important variable affecting depression. Through multiple Logistic regression, it was found that a decrease in social support level was associated with an increased risk of depression. Compared with high-level social support, the OR (95%CI) of moderate level social support and low-level social support were 1.535 (1.072-2.198) and 4.993 (2.823-8.830), respectively, and this relationship existed in differ