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与普通人口相比,老年人MS人口的社会经济地位:一项全国性的丹麦匹配横截面研究
Malthe Faurschou Wandall-Holm1, Rolf Pringler Holm1, Luigi Pontieri1
1Danish Multiple Sclerosis Registry, Department of Neurology, Copenhagen University Hospital - Rigshospitalet, Glostrup, Denmark.
Frontiers in neurology
|June 29, 2023
概括
与普通人群相比,患有多发性硬化症 (MS) 的老年人面临着重大的社会经济劣势,包括较低的教育,就业和收入. 这些挑战凸显了MS的广泛影响,超出了其身体和认知症状.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 导致身体和认知障碍,影响社会经济地位.
- 老龄化加剧了MS的进展和社会经济差异.
- 丹麦的注册允许对MS患者进行独特的纵向社会经济分析.
研究的目的:
- 研究丹麦老年多发性硬化症患者的社会经济方面.
- 将多发性硬化患者的社会经济因素与来自普通人口的匹配对照进行比较.
主要方法:
- 在丹麦进行全国范围的基于人口的研究.
- 包括2021年1月1日现存的所有50岁以上的多发性硬化症患者.
- 根据人口统计和居住地,MS患者与一般人群对照的匹配率为1:10.
- 利用了丹麦多发性硬化病登记和国家社会经济登记.
- 在MS患者和对照人群之间进行单变异性比较.
主要成果:
- 该研究包括8,215名多发性硬化患者和82,150名对照人群 (平均年龄为63.4岁).
- 50-64岁的多发性硬化患者的教育程度较低,就业收入较低,对社会护理的依赖程度更高.
- 在所有年龄段,多发性硬化症患者更有可能独自生活,更不可能生孩子.
结论:
- 多发性硬化症给老年人带来了相当大的社会经济负担.
- 调查结果表明,老年多发性硬化症患者的失业率增加,收入较低,社会支持需求更大.
- 多发性硬化症的影响显著影响一个人的生活过程,超越临床表现.
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