大屠杀幸存者:70年后的健康和长寿
Jochanan Stessman1,2, Barbara Paris3, Jeremy M Jacobs1,2
1The Jerusalem Institute of Aging Research, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Journal of the American Geriatrics Society
|June 26, 2023
概括
与对照组相比,85-95岁的大屠杀幸存者在健康,功能或死亡率方面没有显著差异. 这表明这种独特的人群具有非凡的弹性,能够抵御远程创伤的长期负面影响.
科学领域:
- 老年学是指老年学的学科.
- 创伤研究 创伤研究
- 公共卫生 公共卫生
背景情况:
- 大屠杀幸存者 (HS) 是一个独特的老龄化人口,在70多年前遭受了极端创伤.
- 之前的研究记录了70岁之前HS的负面健康结果.
- 这项研究调查了HS在晚年 (85-95岁) 的长期健康状况,功能状况和生存率.
研究的目的:
- 检查假设,大屠杀的远程创伤继续影响老年幸存者的健康,功能和生存.
- 为了比较大屠杀幸存者 (营地和暴露) 的健康和生存结果与晚年对照组.
主要方法:
- 耶路撒冷纵向研究 (1990-2022) 追踪了出生于1920-1921年的耶路撒冷居民.
- 参与者 (85,90,95岁) 在家中进行了医疗,社会,功能和认知状况的评估,以及死亡率数据.
- 幸存者被分为HS-Camp (HS-C),HS-Exposed (HS-E) 或控制组,并计算了调整后的危险比率 (HR).
主要成果:
- 在85,90和95岁的HS-C,HS-E和对照组之间没有观察到一致的显著发病率差异.
- 在85-90岁和90-95岁之间的死亡率在各组之间没有显著差异.
- 对死亡率调整后的HRs对于HS-C和HS-E在两个年龄区间中的对照组相比无意义.
结论:
- 在大屠杀后的70年里,幸存者在健康,功能和死亡率方面没有明显的损害.
- 老年幸存者 (85岁以上) 可能代表了一个独特的弹性人口.
- 这种适应极端逆境的习惯似乎在这些幸存者的一生中一直存在.
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